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Campbell TJ, Greige N, Yan Y, Lu YH, Ricci JA, Weichman KE. Women in Microsurgery Fellowships: Trends and Impact on Future Practice Patterns. J Reconstr Microsurg 2024; 40:357-362. [PMID: 37751878 DOI: 10.1055/a-2182-0902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/28/2023]
Abstract
BACKGROUND While the number of female plastic surgeons has continued to increase over time, plastic surgery has historically been a male-dominated profession with only 15% of practicing plastic surgeons being female. Microsurgery, as a subspecialty, has been long perceived as an even more male-centric career path. The objective of this study was to determine the representation of females in the subspecialty field of microsurgery and the impact of microsurgical fellowship training. METHODS A review of all microsurgery fellowship programs participating in the microsurgery fellowship match from 2010 to 2019 were analyzed. Fellows were identified through fellowship Web site pages or direct contact with fellowship program coordinators and directors. The current type of practice and performance of microsurgery were also identified through a Web search and direct contact with fellowship program coordinators and directors. RESULTS A total of 21 programs and 317 fellows over a 10-year period were analyzed. Over this 10-year period, there was a total of 100 (31.5%) female microsurgery fellows and 217 (68.5%) male microsurgery fellows. There was a small, statistically insignificant increase in the yearly percentage of female microsurgery fellows over this 10-year period with an average yearly increase of 2.7% (p = 0.60; 95% confidence interval: -6.9 to 13.2%). There were significantly fewer females who continued to practice microsurgery compared to males (75 [75.0%] vs. 186 [85.7%], p = 0.02). There was no significant difference in the current practice types (academic, private, and nonacademic hospital) between females and males (p = 0.29). CONCLUSION Women are underrepresented in the field of microsurgery to a similar extent as they are underrepresented in overall plastic surgery. While there is a small insignificant increase in the number of female microsurgery fellows every year, a significantly smaller proportion of females continue to practice microsurgery compared to males.
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Affiliation(s)
- Tessa J Campbell
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Montefiore Medical Center, Bronx, New York
| | - Nicolas Greige
- Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia
| | - Yufan Yan
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Montefiore Medical Center, Bronx, New York
| | - Yi-Hsueh Lu
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Montefiore Medical Center, Bronx, New York
| | - Joseph A Ricci
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwell Health, Great Neck, New York
| | - Katie E Weichman
- Hangjorg Wyss Department of Plastic Surgery, NYU Langone Health, New York City, New York
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2
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Arienzo VP, Goldenberg DC, Noronha MAN, Lucas PFS, Ferreira BPV, de Oliveira TS. Robotic and Plastic Surgery: actuality and prospects for the near future, a scoping review. Einstein (Sao Paulo) 2024; 22:eRW0710. [PMID: 38747887 PMCID: PMC11081019 DOI: 10.31744/einstein_journal/2024rw0710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Accepted: 01/04/2024] [Indexed: 05/19/2024] Open
Abstract
OBJECTIVE This work aims to review the existing use of robotics in plastic surgery. METHODS A meticulous selection process identified 22 articles relevant to this scoping review. RESULTS The literature on the use of robotics in plastic surgery is sparse. Nonetheless, this review highlights emerging benefits in microsurgery, breast reconstruction, and transoral surgery. CONCLUSION This scoping review identifies critical articles reporting the emerging use of robotics in plastic surgery. While the scientific medical community has yet to extensively document its use, the available evidence suggests a promising future for robotics in this field.
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Affiliation(s)
- Vitor Pelogi Arienzo
- Hospital Israelita Albert EinsteinSão PauloSPBrazil Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
| | - Dov Charles Goldenberg
- Hospital Israelita Albert EinsteinSão PauloSPBrazil Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
- Hospital das ClínicasFaculdade de MedicinaUniversidade de São PauloSão PauloSPBrazil Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
| | - Marcos Antonio Neves Noronha
- Hospital Israelita Albert EinsteinSão PauloSPBrazil Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
- Hospital das ClínicasFaculdade de MedicinaUniversidade de São PauloSão PauloSPBrazil Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
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3
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Aref Y, Engel PV, Miao X, Givant M, Seify H. An Analysis of the Characteristics and Trends in Practicing Plastic Surgeons in California. Ann Plast Surg 2024; 92:S336-S339. [PMID: 38689415 DOI: 10.1097/sap.0000000000003846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2024]
Abstract
BACKGROUND Studies suggest an increasing trend of plastic surgeons choosing private practice after training, with up to 90% pursuing private practice without future fellowships.1 Previous data showed that 66.7% of graduates from plastic surgery residency programs chose to pursue private practice without future fellowship, while more recent studies estimate this statistic has risen close to 90%.1,2 The literature has yet to characterize the current plastic surgery workforce and changes in its composition over time. This study aims to analyze the characteristics and training of plastic surgeons in California through a comparative study with general surgeons. METHODS Surgeon demographics were extracted from the Centers for Medicare and Medicaid Services open database. Urban/rural classification and academic affiliation were crosslinked from the Inpatient Prospective System database and sole proprietorship status was cross-linked from the NPI Registry. Summary statistics and logistic regressions with chi-squared analysis were analyzed using STATA/MP17. RESULTS Our analysis consisted of 3871 plastic and general surgeons in California. Compared to general surgeons, plastic surgeons were less likely to be females (P < 0.000), and more likely to be sole proprietors (P < 0.000), and affiliated with a teaching hospital (P < 0.005). There was no statistically significant difference in the percentage of rural-practicing plastic and general surgeons (P = 0.590). More recent plastic surgery graduates were more likely to be affiliated with an academic hospital (P < 0.0000). The composition of females significantly increased from the older graduated cohort to the most recent one. There was no significant difference in sole proprietorship and rural practice status between the oldest and youngest graduating cohorts. CONCLUSIONS Although the California plastic surgery workforce is gaining female plastic surgeons and shifting to academic institutions, significant progress in serving rural communities is yet to be made. Our study suggests that there may be a shift in the trend of plastic surgeons opting for private practice, possibly driven by a desire for more stable positions in academia. Continued improvement in diversity and training of future plastic surgeons is needed to alleviate the rural care gap.
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Affiliation(s)
- Youssef Aref
- From the California University of Science and Medicine School of Medicine, Colton
| | - Priya Vedula Engel
- From the California University of Science and Medicine School of Medicine, Colton
| | - Xinfei Miao
- From the California University of Science and Medicine School of Medicine, Colton
| | - Madeleine Givant
- From the California University of Science and Medicine School of Medicine, Colton
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Stein MJ, Yuksel SS, Harrast J, Taub PJ, Matarasso A, Gosain AK. Clinical Practice Patterns and Evidence-Based Medicine in Rhinoplasty: A 10-Year Review of Continuous Certification Tracer Data from the American Board of Plastic Surgery. Aesthetic Plast Surg 2024; 48:1312-1320. [PMID: 37605029 DOI: 10.1007/s00266-023-03599-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Accepted: 08/07/2023] [Indexed: 08/23/2023]
Abstract
BACKGROUND The American Board of Plastic Surgery (ABPS) has collected data on cosmetic surgery from member surgeons since 2003. These data offer valuable information on national trends in clinical practice. OBJECTIVES The present study was performed to analyze trends in rhinoplasty over the last decade. METHODS Tracer data were compared between two cohorts 2012-2016 (early cohort "EC") and 2017-2021 (recent cohort "RC"). Data included patient demographics and surgical techniques. Results were considered in the context of current EBM-based guidance in the plastic surgery literature. RESULTS Data from 730 rhinoplasties (270 EC and 460 RC) were analyzed. The median age was 30 years, and the most common patient concern was the nasal dorsum (79%). In the RC group, fewer patients voiced concerns about tip projection (58% vs 43%, p = 0.0002) and more complained of functional airway problems (38% vs 49%, p = 0.004). An open approach was most common (83%). Septoplasty (47% vs 52%, p = 0.005), caudal septum repositioning (14% vs 23%, p = 0.002), and tip rotation maneuvers (32% vs 49%, p < 0.0001) became more popular. There was also an increase in the use of spreader grafts (35% vs 45%, p = 0.01) and columellar strut grafts (42% vs 50%, p = 0.04), while there has been a decrease in alar base resection (17% vs 10%, p = 0.007) and non-cartilaginous dorsum/radix augmentation (9% vs 4%, p = 0.02). CONCLUSIONS ABPS tracer data provide an excellent resource for the objective assessment of procedures in plastic surgery. The present study is the first to highlight evolving trends in rhinoplasty over the last 10 years. LEVEL OF EVIDENCE III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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Affiliation(s)
- Michael J Stein
- Department of Plastic and Reconstructive Surgery, Lenox Hill Hospital, New York, NY, USA
| | - Selcen S Yuksel
- Division of Plastic Surgery, Ann and Robert H. Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, 225 E. Chicago Ave., Box 93, Chicago, IL, 60611, USA
| | - John Harrast
- Data Harbor Solutions, American Board of Plastic Surgery, Philadelphia, PA, USA
| | - Peter J Taub
- American Board of Plastic Surgery and Division of Plastic and Reconstructive Surgery, Mount Sinai Medical Center, New York, NY, USA
| | - Alan Matarasso
- Department of Plastic and Reconstructive Surgery, Lenox Hill Hospital, New York, NY, USA
| | - Arun K Gosain
- Division of Plastic Surgery, Ann and Robert H. Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, 225 E. Chicago Ave., Box 93, Chicago, IL, 60611, USA.
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Shamoun F, Asaad M, Rajesh A, Tran NV. Invited Commentary from the Authors of: Asaad M. The Evolving Trends in the Impact Factor of Plastic Surgery Journals: A 22-Year Analysis. Ann Plast Surg 2022; 88:360. [PMID: 35130206 DOI: 10.1097/sap.0000000000003005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Khetpal S, Pourtaheri N, Lopez J, Alperovich M. Venture Capital Investments in Plastic Surgery: An 8-Year Analysis. Plast Reconstr Surg 2022; 149:179e-180e. [PMID: 34874358 DOI: 10.1097/prs.0000000000008653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Sumun Khetpal
- Section of Plastic Surgery, Yale School of Medicine, New Haven, Conn
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7
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Wheeler DR, Oldani S, Montagna L, Vinci V. Space Medicine: A Spot for Future Plastic Surgeons? Plast Reconstr Surg 2022; 149:180e-181e. [PMID: 34878417 DOI: 10.1097/prs.0000000000008637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
| | | | | | - Valeriano Vinci
- Department of Biomedical Sciences, Humanitas University, Humanitas Clinical and Research Center, IRCCS, Milan, Italy
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8
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Furnas HJ, Kim R, Rohrich RJ. Social Media and How This 75-Year-Old Journal Stays Young. Plast Reconstr Surg 2021; 148:488-491. [PMID: 34398104 DOI: 10.1097/prs.0000000000008149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Heather J Furnas
- From the Division of Plastic Surgery, Department of Surgery, Stanford University; private practice; and the Dallas Plastic Surgery Institute
| | - Roy Kim
- From the Division of Plastic Surgery, Department of Surgery, Stanford University; private practice; and the Dallas Plastic Surgery Institute
| | - Rod J Rohrich
- From the Division of Plastic Surgery, Department of Surgery, Stanford University; private practice; and the Dallas Plastic Surgery Institute
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9
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Asaad M, Bhadkamkar M, Maricevich RS. Differences among Senior Allopathic and Nonsenior Applicants for Integrated Plastic Surgery Residency. Plast Reconstr Surg 2021; 148:347e-349e. [PMID: 34254961 DOI: 10.1097/prs.0000000000008121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Malke Asaad
- Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center
| | - Mohin Bhadkamkar
- Department of Plastic Surgery, Baylor College of Medicine, Houston, Texas
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10
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Yildirim E. Scientometric analysis of genital cosmetic and aesthetic procedures between 1981 and 2019. J Plast Reconstr Aesthet Surg 2021; 74:2776-2820. [PMID: 34183287 DOI: 10.1016/j.bjps.2021.05.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2020] [Revised: 04/11/2021] [Accepted: 05/27/2021] [Indexed: 11/29/2022]
Affiliation(s)
- Engin Yildirim
- Malatya Turgut Ozal University Faculty of Medicine, Department of Obstetrics and Gynecology, Alacakapı Campus, Kırkgoz Street, 44210 Battalgazi / MALATYA.
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11
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He WY, Khoo KH, Broderick KP, Cooney CM. Fox eye surgery: Who we cut when we pick up the knife. J Plast Reconstr Aesthet Surg 2021; 74:1931-1971. [PMID: 34148836 DOI: 10.1016/j.bjps.2021.05.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Accepted: 05/27/2021] [Indexed: 11/19/2022]
Affiliation(s)
- Waverley Y He
- Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
| | - Kimberly H Khoo
- Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Division of Plastic and Reconstructive Surgery, University of Texas Medical Branch at Galveston, Galveston, TX, United States
| | - Kristen P Broderick
- Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, United States
| | - Carisa M Cooney
- Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, United States
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12
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Azoury SC, Othman S, Naga H, Elfanagely O, Kimia R, Piwnica-Worms W, Serletti JM, Fosnot J. 50 Years Since the First Plastic Surgery Unit Achieved Department Status: Where Do We Stand and How Do We Compare to Our Close Competition? Plast Reconstr Surg 2020; 146:842e-844e. [PMID: 33235009 DOI: 10.1097/prs.0000000000007390] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Saïd C Azoury
- Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pa
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13
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Shaw AV, Reed AJ, Ryan D, Nijjher J, Critchley P, Ramsden A, Furniss D. Coming out of the crisis: Restarting services after the coronavirus pandemic. J Plast Reconstr Aesthet Surg 2020; 74:407-447. [PMID: 32888862 PMCID: PMC7446652 DOI: 10.1016/j.bjps.2020.08.067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Accepted: 08/01/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Abigail V Shaw
- Department of Plastic & Reconstructive Surgery, Oxford University Hospitals NHS Foundation Trust, United Kingdom.
| | - Alistair Jm Reed
- Department of Plastic & Reconstructive Surgery, Oxford University Hospitals NHS Foundation Trust, United Kingdom
| | - Daisy Ryan
- Department of Plastic & Reconstructive Surgery, Oxford University Hospitals NHS Foundation Trust, United Kingdom
| | - Jagdeesh Nijjher
- Department of Plastic & Reconstructive Surgery, Oxford University Hospitals NHS Foundation Trust, United Kingdom
| | - Paul Critchley
- Department of Plastic & Reconstructive Surgery, Oxford University Hospitals NHS Foundation Trust, United Kingdom
| | - Alex Ramsden
- Department of Plastic & Reconstructive Surgery, Oxford University Hospitals NHS Foundation Trust, United Kingdom
| | - Dominic Furniss
- Department of Plastic & Reconstructive Surgery, Oxford University Hospitals NHS Foundation Trust, United Kingdom; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, United Kingdom
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14
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Dhanda AK, Leverant E, Leshchuk K, Paskhover B. A Google Trends Analysis of Facial Plastic Surgery Interest During the COVID-19 Pandemic. Aesthetic Plast Surg 2020; 44:1378-1380. [PMID: 32766923 PMCID: PMC7406132 DOI: 10.1007/s00266-020-01903-y] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Accepted: 07/26/2020] [Indexed: 11/26/2022]
Abstract
Abstract The COVID-19 pandemic has had a multitude of effects on daily life. Aesthetic and cosmetic surgery practices have been significantly reduced in their working capacity or closed during this time. We used Google Trends to gauge the public’s interest in facial plastic surgery during this pandemic, and how it has changed over the preceding months. As local shelter-in-place orders are being lifted, interest in facial plastic surgery is increasing even in the context of an ongoing national pandemic. Level of evidence V Letter to the Editor.
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Affiliation(s)
- Aatin K Dhanda
- Department of Otolaryngology Head and Neck Surgery, Rutgers - New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ, 07103, USA.
| | - Elizabeth Leverant
- Department of Otolaryngology Head and Neck Surgery, Rutgers - New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ, 07103, USA
| | - Kalyna Leshchuk
- Department of Otolaryngology Head and Neck Surgery, Rutgers - New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ, 07103, USA
| | - Boris Paskhover
- Department of Otolaryngology Head and Neck Surgery, Rutgers - New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ, 07103, USA
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15
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Affiliation(s)
| | - Allison C Hu
- University of California, Irvine School of Medicine, Irvine, Calif
| | - Zeshaan N Maan
- Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, Calif
| | - Michael S Hu
- Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa
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16
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Affiliation(s)
| | - Allison C Hu
- University of California, Irvine School of Medicine, Irvine, Calif
| | - Zeshaan N Maan
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University, Palo Alto, Calif
| | - Michael S Hu
- Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa
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Affiliation(s)
- Amanda Bailey
- Amanda Bailey, MSN, ACNP-BC, CWS, CPSN, ISPAN-F, is Nurse Practitioner at the Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN
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18
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Affiliation(s)
- Angela S Volk
- Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
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19
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Abstract
OBJECTIVES To present the demographic characteristics of Saudi patients undergoing cosmetic procedures. Methods: This prospective study survey was conducted in 3 private cosmetic surgery centers in different regions of Saudi Arabia (Riyadh and Jeddah) between January and August 2016. Validated questionnaire with modification was used and the following patient's information were provided: age group, height and weight, marital status, number of children, age of the patient's spouse, educational level, monthly income, name of the cosmetic procedure, names of any previous cosmetic procedures and their reason for cosmetic procedure. Results: The present study revealed that a typical Saudi cosmetic surgery patients are university graduates, married (46.8%), employed (68.3%), and middle aged 20-40 years of age (70%), with a fairly high typical monthly income. Conclusion: There is a possible positive correlation between gender and undergoing cosmetic procedure. Laser hair removal, botox, liposuction, filler, and scar revision are common among females, while rhinoplasty is a common procedure among males.
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Affiliation(s)
- Sami E Alharethy
- Division of Facial Plastic Surgery, Department of Otolaryngology-Head and Neck Surgery, King Abdulaziz University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail.
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20
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Ward B, Ward M, Paskhover B. Google Trends as a Resource for Informing Plastic Surgery Marketing Decisions. Aesthetic Plast Surg 2018; 42:598-602. [PMID: 29218476 DOI: 10.1007/s00266-017-1019-4] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2017] [Accepted: 10/29/2017] [Indexed: 11/29/2022]
Abstract
BACKGROUND Celebrities have long influenced the medical decisions of the general population. By analyzing Google search data using Google Trends, we measured the impact of highly publicized plastic surgery-related events on the interest level of the general population in specific search terms. Additionally, we investigated seasonal and geographic trends around interest in rhinoplasties, which is information that physicians and small surgical centers can use to optimize marketing decisions. METHODS Google Trends was used to access search data histories for three separate areas of interest: Kylie Jenner and lip fillers, Joan Rivers and plastic surgery, and rhinoplasty, which were then analyzed using two-tailed, two-sample equal variance t-tests. RESULTS The average interest level in fillers increased by 30.31 points after Kylie Jenner announced that she received Juvéderm lip injections. The interest level in plastic surgery was decreased by 21.3% the month after Joan Rivers' death. Between January 2004 and May 2017, the average interest level for rhinoplasty was significantly different in January/December (67.91 ± 20.68) and June/July (70.12 ± 18.89) from the remaining calendar months (63.58 ± 19.67). Los Angeles, New York City, and Miami showed consistently high interest levels throughout the time period, while Tulsa, OK, showed a major interest increase between 2015 to 2016 of 65 points. CONCLUSIONS A noticeable impact was observed in both celebrity cases on search term volume, and a seasonal effect is apparent for rhinoplasty searches. As many surgeons already employ aggressive Internet marketing strategies, understanding and utilizing these trends could help optimize their investments, increase social engagement, and increase practice awareness by potential patients. LEVEL OF EVIDENCE V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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Affiliation(s)
| | - Max Ward
- Rutgers New Jersey Medical School, Newark, NJ, USA
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21
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Harrar H, Myers S, Ghanem AM. Art or Science? An Evidence-Based Approach to Human Facial Beauty a Quantitative Analysis Towards an Informed Clinical Aesthetic Practice. Aesthetic Plast Surg 2018; 42:137-146. [PMID: 29313062 PMCID: PMC5786654 DOI: 10.1007/s00266-017-1032-7] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2017] [Accepted: 11/02/2017] [Indexed: 11/30/2022]
Abstract
BACKGROUND Patients often seek guidance from the aesthetic practitioners regarding treatments to enhance their 'beauty'. Is there a science behind the art of assessment and if so is it measurable? Through the centuries, this question has challenged scholars, artists and surgeons. AIMS AND OBJECTIVES This study aims to undertake a review of the evidence behind quantitative facial measurements in assessing beauty to help the practitioner in everyday aesthetic practice. METHODS A Medline, Embase search for beauty, facial features and quantitative analysis was undertaken. SELECTION CRITERIA Inclusion criteria were studies on adults, and exclusions included studies undertaken for dental, cleft lip, oncology, burns or reconstructive surgeries. The abstracts and papers were appraised, and further studies excluded that were considered inappropriate. The data were extracted using a standardised table. The final dataset was appraised in accordance with the PRISMA checklist and Holland and Rees' critique tools. RESULTS Of the 1253 studies screened, 1139 were excluded from abstracts and a further 70 excluded from full text articles. The remaining 44 were assessed qualitatively and quantitatively. It became evident that the datasets were not comparable. Nevertheless, common themes were obvious, and these were summarised. CONCLUSION Despite measures of the beauty of individual components to the sum of all the parts, such as symmetry and the golden ratio, we are yet far from establishing what truly constitutes quantitative beauty. Perhaps beauty is truly in the 'eyes of the beholder' (and perhaps in the eyes of the subject too). LEVEL OF EVIDENCE V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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Affiliation(s)
- Harpal Harrar
- Academic Plastic Surgery Group, Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, 4 Newark Street, London, E1 2AT, UK
| | - Simon Myers
- Academic Plastic Surgery Group, Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, 4 Newark Street, London, E1 2AT, UK
| | - Ali M Ghanem
- Academic Plastic Surgery Group, Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, 4 Newark Street, London, E1 2AT, UK.
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Singh P, Pearlman S. Use of Computer Imaging in Rhinoplasty: A Survey of the Practices of Facial Plastic Surgeons. Aesthetic Plast Surg 2017; 41:898-904. [PMID: 28432415 DOI: 10.1007/s00266-017-0858-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2016] [Accepted: 02/21/2017] [Indexed: 11/26/2022]
Abstract
OBJECTIVE The objective of this study was to quantify the use of computer imaging by facial plastic surgeons. METHODS AAFPRS Facial plastic surgeons were surveyed about their use of computer imaging during rhinoplasty consultations. The survey collected information about surgeon demographics, practice settings, practice patterns, and rates of computer imaging (CI) for primary and revision rhinoplasty. For those surgeons who used CI, additional information was also collected, which included who performed the imaging and whether the patient was given the morphed images after the consultation. RESULTS A total of 238 out of 1200 (19.8%) facial plastic surgeons responded to the survey. Out of those who responded, 195 surgeons (83%) were board certified by the American Board of Facial Plastic and Reconstructive Surgeons (ABFPRS). The majority of respondents (150 surgeons, 63%) used CI during rhinoplasty consultation. Of the surgeons who use CI, 92% performed the image morphing themselves. Approximately two-thirds of surgeons who use CI gave their patient a printout of the morphed images after the consultation. CONCLUSIONS Computer imaging (CI) is a frequently utilized tool for facial plastic surgeons during cosmetic consultations with patients. Based on these results of this study, it can be suggested that the majority of facial plastic surgeons who use CI do so for both primary and revision rhinoplasty. As more sophisticated systems become available, it is possible that utilization of CI modalities will increase. This provides the surgeon with further tools to use at his or her disposal during discussion of aesthetic surgery. LEVEL OF EVIDENCE V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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Affiliation(s)
- Prabhjyot Singh
- Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
| | - Steven Pearlman
- Otolaryngology - Head and Neck Surgery, Columbia University, New York, NY, USA
- Pearlman Aesthetic Surgery, 521 Park Avenue, New York, NY, 10065, USA
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Affiliation(s)
- E Delay
- 50, rue de la République, 69002 Lyon, France.
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Nestor MS, Ablon G, Andriessen A, Few J, Gold MH, Goldberg DJ, Lorenc P, Mandy S, Weinkle SH. Expert Consensus on Absorbable Advanced Suspension Technology for Facial Tissue Repositioning and Volume Enhancement. J Drugs Dermatol 2017; 16:661-666. [PMID: 28697217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
<p>BACKGROUND: Signs of facial aging include wrinkles, loss of subcutaneous volume, decreased tone, texture, and sagging of the skin. The objective of this review is to determine whether facial suspension absorbable sutures are a safe and effective modality for facial rejuvenation.</p> <p>METHOD: A group of US plastic surgeons and dermatologists who practice medical aesthetics convened to review evidence obtained from literature searches and to reach a consensus on clinical practice guidelines for the use of facial absorbable suspension sutures.</p> <p>RESULTS: Currently, there are different types of lifting sutures available. Absorbable, facial suspension sutures allow for superior repositioning of tissue along a vector line together with the added benefit of volumization of the area. These benefits are for patients who have moderate facial aging and require treatment beyond the use of injectable products only.</p> <p>CONCLUSIONS: Treatment with absorbable facial suspension sutures, when performed properly, is associated with minor and infrequent complications and offers a beneficial clinical alternative to traditional facial rejuvenation techniques.</p> <p><em>J Drugs Dermatol. 2017;16(7):661-666.</em></p>.
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Hashem AM, Waltzman JT, D'Souza GF, Cakmakoglu C, Tadisina KK, Kenkel JM, Zins JE. Resident and Program Director Perceptions of Aesthetic Training in Plastic Surgery Residency: An Update. Aesthet Surg J 2017; 37:837-846. [PMID: 28333253 DOI: 10.1093/asj/sjw275] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background This is the third survey exploring the quality of cosmetic training in plastic surgery residency. We focused on determining: (1) the applied modalities and extent of resident exposure; and (2) resident confidence in performing variable cosmetic procedures. Objectives To analyze trends in resident exposure and confidence in aesthetic plastic surgery procedures from the standpoint of program directors (PDs) and residents. Methods The survey was developed and e-mailed to 424 residents enrolled in the ASAPS Residents Program and 95 PDs. Both independent and integrated programs were included. The questions were posed in a five-point ranking format. Univariate statistical analysis was used to examine all aspects. The results were analyzed in relation to our previous surveys in 2008 and 2011. Results Thirty-three PDs (34.7%) and 224 (52.8%) residents responded. Residents felt most confident with abdominoplasty, breast reduction, and augmentation-mammaplasty. Facial aesthetic procedures, especially rhinoplasty and facelift, were perceived as "challenging." The three most preferred modalities of aesthetic education were, in descending order, residents' clinic, staff cosmetic patients, and cadaver dissections. Both residents and PDs felt a need for more training especially in facial procedures. Only 31.5% of residents who planned to focus on cosmetic surgery felt ideally prepared integrating cosmetic surgery into their practice (compared to 50% in previous surveys). Conclusions Despite improvements observed from 2008 to 2011 published surveys, there are still challenges to be met especially in facial cosmetic procedures. It is suggested that resident clinics and cadaver courses be universally adopted by all training programs.
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Affiliation(s)
- Ahmed M Hashem
- Cairo University, Cairo, Egypt.Aesthetic Surgery Journal (ASJ). ; ASJ
| | | | - Gehaan F D'Souza
- Department of Plastic Surgery, Cleveland Clinic Foundation, Cleveland, OH
| | - Cagri Cakmakoglu
- Dr Lufti Kirdar Training and Research Hospital, Istanbul, Turkey
| | | | - Jeffrey M Kenkel
- Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX
| | - James E Zins
- Department of Plastic Surgery, Cleveland Clinic Foundation, Cleveland, OH
- Aesthetic Surgery Journal
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Williams S, Pirlamarla A, Rahal W, Weichman K, Garfein E, Jelks G, Tepper O. How Well Do They Convert? Trending ASAPS Presentations to Publication From 1995-2010. Aesthet Surg J 2017; 37:NP15-NP19. [PMID: 27405650 DOI: 10.1093/asj/sjw097] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/11/2016] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND The American Society for Aesthetic Plastic Surgery (ASAPS) sponsors an annual conference that promotes education, advocacy, and care. There, researchers deliver abstracts as podium and poster presentations. Subsequently, ASAPS encourages submitting these research findings for publication. Yet, many never become published manuscripts. OBJECTIVES To quantify the conversion rates of oral abstract presentations to publication from 1995 to 2010. Secondary objectives included evaluating trends in presentations, publications, time to publication, and published journal distribution. METHODS Comprehensive literature search in PubMed cross-referencing oral abstract presentations and determining peer-reviewed publication status. The conversion rate and time to publication was calculated. RESULTS A total of 569 oral presentations met the inclusion criteria. The mean annual presentations was 35.6. A total of 360 presentations became journal publications. The mean annual publications was 22.5. The mean conversion rate was 63.3% (R2, 0.1271; P-value of .23). The mean time to publication was 19.8 months. Most publications occurred within two years of presentation (87.5%). Publications appeared in Plastic and Reconstructive Surgery (PRS, 48.6%), Aesthetic Surgery Journal (ASJ, 27.8%), Aesthetic Plastic Surgery (APS, 5.6%), Annals of Plastic Surgery (AnnPS, 4.2%), Clinics in Plastic Surgery (CPS, 3.9%), and other journals (10%). Trending ASJ publications vs other journals in five year intervals demonstrated an increase from 18.7% to 58.8%. CONCLUSIONS While the number of presentations and publications declined, the time to publication, and conversion rate remained largely the same. Despite its short existence, ASJ became the predominant journal publishing ASAPS abstracts by the end of the study period.
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Affiliation(s)
- Sacha Williams
- From the Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY
| | - Aneesh Pirlamarla
- From the Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY
| | - William Rahal
- From the Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY
| | - Katie Weichman
- From the Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY
| | - Evan Garfein
- From the Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY
| | - Glenn Jelks
- From the Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY
| | - Oren Tepper
- From the Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY
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Affiliation(s)
- Foad Nahai
- Dr Nahai is Editor-in-Chief of Aesthetic Surgery Journal
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Waltzman JT, Tadisina KK, Zins JE. The Rise of Technology in Plastic Surgery Education: Is the Textbook Dead on Arrival (DOA)? Aesthet Surg J 2016; 36:237-43. [PMID: 26384712 DOI: 10.1093/asj/sjv144] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/29/2015] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Over the past decade there has been a dramatic rise in the use of technology. Evaluating our use of technology is crucial to advancing the next generation of plastic surgeons. OBJECTIVES The goals of this study were to assess the current use of technology by residents, help Program Directors allocate financial resources, and predict the future of technology and education. METHODS A 17-question online survey was emailed to American Society for Aesthetic Plastic Surgery resident/fellow members (n = 447). The survey evaluated current use of technology, preferred use of educational resources, and directions for the future. Ample space was allocated for free response questions. RESULTS The response rate was 40%. The average age of respondents was 32 years old (standard deviation 3.7). The majority (86.5%) of residents own iPhones, and 90% of residents own tablets. There was a heavy daily reliance on smartphone technology. Sixty percent of residents used physical textbooks on a weekly basis. The Plastic Surgery Education Network was used on a weekly basis by 42% of residents. In contrast, 78% of residents were not aware of, or had never used, the readily available digital aesthetic resource (RADAR) Resource iPad application. CONCLUSIONS In order to remain at the forefront of education, we as a specialty need to adapt with technology. Program Directors should support integrating technology with electronic access to educational materials. There exists an opportunity in resident education to increase awareness and utilization of the RADAR Resource. The future of plastic surgery education will be reliant on platforms like the iPhone and iPad to conveniently provide large volumes of information with only a finger touch.
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Affiliation(s)
- Joshua T Waltzman
- From the Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH
| | | | - James E Zins
- From the Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH
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Budi S, Žic R, Martić K, Rudman F, Vlajčić Z, Milanović R, Roje Z, Munjiza A, Rajković I, Gorjanc B, Held R, Maletić A, Tucaković H, Stanec Z. [PRESSURE ULCER TREATMENT EXPERIENCE AT CLINICAL DEPARTMENT OF PLASTIC, RECONSTRUCTIVE AND AESTHETIC SURGERY, DUBRAVA UNIVERSITY HOSPITAL: COMPARISON OF RESULTS RECORDED IN THE 2011-2016 AND 2003-2008 PERIOD]. Acta Med Croatica 2016; 70 Suppl 1:11-16. [PMID: 29087648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Results of this clinical study on surgical treatment of pressure ulcers at Department of Plastic, Reconstructive and Aesthetic Surgery, Dubrava University Hospital showed that there was no difference between the 2011-2016 and 2003-2008 periods, indicating continuation of good surgical treatment planning and appropriate postoperative care. Despite the smaller number of hospitalized patients in the 2011-2016 period (31 patients and 42 reconstructive procedures), the number of reconstructive procedure was similar to the recent 2003-2008 period (47 patients and 57 reconstructive procedures). The best results of reconstruction of sacral region pressure ulcer were achieved with fasciocutaneous and musculocutaneous flaps. Whenever possible, depending on the extent of the defect, musculocutaneous flaps should be preferred for reconstruction. It is especially suitable for pressure ulcer recurrence. For ischial region reconstruction, good results can be obtained by mobilizing the semimembranosus and/or semitendinosus in defect gap. For trochanteric region, the tensor fascia lata flap is a good choice. For maximal functional and reconstructive results, a multidisciplinary approach in pressure ulcer treatment has the leading role in the modern concept of wound healing. Surgical treatment should always include radical debridement, ostectomy and well planned defect reconstruction. Conservative treatment should be support to surgical treatment with a focus on patient health care and high hygiene measures. In recent years (2011-2016), the usage of better conservative treatment led to reduction of patient hospital stay and surgical treatment of pressure ulcer. Further ‘wound care’ nurses training in Croatia can lead the trend towards advanced practice nursing in pressure ulcer prevention and conservative treatment.
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Mowat H, McDonald K, Dobson AS, Fisher J, Kirkman M. The contribution of online content to the promotion and normalisation of female genital cosmetic surgery: a systematic review of the literature. BMC Womens Health 2015; 15:110. [PMID: 26608568 PMCID: PMC4660671 DOI: 10.1186/s12905-015-0271-5] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2015] [Accepted: 11/24/2015] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Women considering female genital cosmetic surgery (FGCS) are likely to use the internet as a key source of information during the decision-making process. The aim of this systematic review was to determine what is known about the role of the internet in the promotion and normalisation of female genital cosmetic surgery and to identify areas for future research. METHODS Eight social science, medical, and communication databases and Google Scholar were searched for peer-reviewed papers published in English. Results from all papers were analysed to identify recurring and unique themes. RESULTS Five papers met inclusion criteria. Three of the papers reported investigations of website content of FGCS providers, a fourth compared motivations for labiaplasty publicised on provider websites with those disclosed by women in online communities, and the fifth analysed visual depictions of female genitalia in online pornography. Analysis yielded five significant and interrelated patterns of representation, each functioning to promote and normalise the practice of FGCS: pathologisation of genital diversity; female genital appearance as important to wellbeing; characteristics of women's genitals are important for sex life; female body as degenerative and improvable through surgery; and FGCS as safe, easy, and effective. A significant gap was identified in the literature: the ways in which user-generated content might function to perpetuate, challenge, or subvert the normative discourses prevalent in online pornography and surgical websites. CONCLUSIONS Further research is needed to contribute to knowledge of the role played by the internet in the promotion and normalisation of female genital cosmetic surgery.
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Affiliation(s)
- Hayley Mowat
- Jean Hailes Research Unit, Monash University, Melbourne, Australia.
| | - Karalyn McDonald
- Jean Hailes Research Unit, Monash University, Melbourne, Australia.
| | - Amy Shields Dobson
- Institute for Advanced Studies in the Humanities, University of Queensland, Brisbane, Australia.
| | - Jane Fisher
- Jean Hailes Research Unit, Monash University, Melbourne, Australia.
| | - Maggie Kirkman
- Jean Hailes Research Unit, Monash University, Melbourne, Australia.
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Francis HW, Papel I, Lina I, Koch W, Tunkel D, Fuchs P, Lin S, Kennedy D, Ruben R, Linthicum F, Marsh B, Best S, Carey J, Lane A, Byrne P, Flint P, Eisele DW. Otolaryngology-head and neck surgery at Johns Hopkins: The first 100 years (1914-2014). Laryngoscope 2015; 125 Suppl 9:S1-35. [PMID: 26297867 PMCID: PMC4696071 DOI: 10.1002/lary.25490] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/15/2015] [Indexed: 12/19/2022]
Affiliation(s)
- Howard W Francis
- Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University, Baltimore, Maryland
| | - Ira Papel
- Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University, Baltimore, Maryland
| | - Ioan Lina
- Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University, Baltimore, Maryland
| | - Wayne Koch
- Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University, Baltimore, Maryland
| | - David Tunkel
- Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University, Baltimore, Maryland
| | - Paul Fuchs
- Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University, Baltimore, Maryland
| | - Sandra Lin
- Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University, Baltimore, Maryland
| | - David Kennedy
- the Department of Otolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Robert Ruben
- the Departments ofOtorhinolaryngology-Head and Neck Surgery and Pediatrics, Albert Einstein College of Medicine Montefiore Medical Center, New York, New York
| | - Fred Linthicum
- the Department of Otolaryngology-Head and Neck Surgery, University of California at Los Angeles, Los Angeles, California
| | - Bernard Marsh
- Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University, Baltimore, Maryland
| | - Simon Best
- Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University, Baltimore, Maryland
| | - John Carey
- Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University, Baltimore, Maryland
| | - Andrew Lane
- Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University, Baltimore, Maryland
| | - Patrick Byrne
- Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University, Baltimore, Maryland
| | - Paul Flint
- Department of Otolaryngology-Head and Neck Surgery, Oregon Health Sciences University, Portland, Oregon, U.S.A
| | - David W Eisele
- Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University, Baltimore, Maryland
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Affiliation(s)
- Jason Roostaeian
- Dr Roostaeian is an Assistant Clinical Professor and Dr Rough is Chief Resident, Division of Plastic and Reconstructive Surgery, University of California, Los AngelesDr Edwards is a plastic surgeon in private practice in Las Vegas, Nevada, and is the current President of the American Society for Aesthetic Plastic Surgery
| | - James Rough
- Dr Roostaeian is an Assistant Clinical Professor and Dr Rough is Chief Resident, Division of Plastic and Reconstructive Surgery, University of California, Los AngelesDr Edwards is a plastic surgeon in private practice in Las Vegas, Nevada, and is the current President of the American Society for Aesthetic Plastic Surgery
| | - Michael C Edwards
- Dr Roostaeian is an Assistant Clinical Professor and Dr Rough is Chief Resident, Division of Plastic and Reconstructive Surgery, University of California, Los AngelesDr Edwards is a plastic surgeon in private practice in Las Vegas, Nevada, and is the current President of the American Society for Aesthetic Plastic Surgery
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Wiser I, Scheflan M, Heller L. [The history of plastic surgery in Israel]. Harefuah 2014; 153:550-556. [PMID: 25417494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The medical institutions in the country have advanced together with the development of the state of Israel. Plastic surgery, which has progressed significantly during the 20th century, has also grown rapidly in the new state. The arrival of Jewish plastic surgeons from all over the world with the knowledge and experience gained in their countries of origin, as well as the need for reconstructive surgical treatment for many combat injured soldiers, also contributed to the development of plastic surgery. This review tells the story of plastic surgery in Israel, since its foundation until nowadays. This article reviews the work of the founders of plastic surgery in Israel, indicating significant milestones in its development, and clinical and scientific contribution to the international plastic surgery profession. Moreover, the article describes the current condition of the field of plastic surgery in Israel and presents the trends and the future challenges facing the next generation of plastic surgery in Israel.
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Cress PE. Carving Out the Future of the Aesthetic Surgery Journal. Aesthet Surg J 2014; 34:784-5. [PMID: 24963066 DOI: 10.1177/1090820x14532942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- Phaedra E Cress
- Ms Cress is the Executive Editor of Aesthetic Surgery Journal
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Abstract
BACKGROUND Labiaplasty is an increasingly popular surgical intervention but little is known about the characteristics and motivation of women who seek the procedure or the psychosexual outcome. METHOD A total of 55 women seeking labiaplasty were compared with 70 women who did not desire labiaplasty. Various general measures of psychopathology as well as specific measures (Genital Appearance Satisfaction; Cosmetic Procedure Screening for labiaplasty) were used. Labia measurements of the women seeking labiaplasty were also obtained. RESULTS Women seeking labiaplasty did not differ from controls on measures of depression or anxiety. They did, however, express increased dissatisfaction towards the appearance of their genitalia, with lower overall sexual satisfaction and a poorer quality of life in terms of body image. Women seeking labiaplasty reported a significantly greater frequency of avoidance behaviours on all the domains assessed, and greater frequency of safety-seeking behaviours for most of the domains. Key motivations reported for labiaplasty were categorized as cosmetic, functional or sexual. Of the 55 women seeking labiaplasty, 10 met diagnostic criteria for body dysmorphic disorder. CONCLUSIONS This is the first controlled study to describe some of the characteristics and motivations of women seeking labiaplasty. We identified a wide range of avoidance and safety-seeking behaviours, which occurred more frequently in the labiaplasty group than the control group. These could be used clinically as part of a psychological intervention for women seeking labiaplasty.
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Affiliation(s)
- D Veale
- NIHR Specialist Biomedical Research Centre for Mental Health at the South London and Maudsley NHS Foundation Trust and the Institute of Psychiatry, King's College London, London, UK
| | - E Eshkevari
- NIHR Specialist Biomedical Research Centre for Mental Health at the South London and Maudsley NHS Foundation Trust and the Institute of Psychiatry, King's College London, London, UK
| | - N Ellison
- NIHR Specialist Biomedical Research Centre for Mental Health at the South London and Maudsley NHS Foundation Trust and the Institute of Psychiatry, King's College London, London, UK
| | - A Costa
- NIHR Specialist Biomedical Research Centre for Mental Health at the South London and Maudsley NHS Foundation Trust and the Institute of Psychiatry, King's College London, London, UK
| | - D Robinson
- Department of Urogynaecology, King's College London, London, UK
| | | | - L Cardozo
- Department of Urogynaecology, King's College London, London, UK
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Abstract
A central tenet of reconstructive surgery is the principle of "replacing like with like." However, due to limitations in the availability of autologous tissue or because of the complications that may ensue from harvesting it, autologous reconstruction may be impractical to perform or too costly in terms of patient donor-site morbidity. The field of tissue engineering has long held promise to alleviate these shortcomings. Scaffolds are the structural building blocks of tissue-engineered constructs, akin to the extracellular matrix within native tissues. Commonly used scaffolds include allogenic or xenogenic decellularized tissue, synthetic or naturally derived hydrogels, and synthetic biodegradable nonhydrogel polymeric scaffolds. Embryonic, induced pluripotent, and mesenchymal stem cells also hold immense potential for regenerative purposes. Chemical signals including growth factors and cytokines may be harnessed to augment wound healing and tissue regeneration. Tissue engineering is already clinically prevalent in the fields of breast augmentation and reconstruction, skin substitutes, wound healing, auricular reconstruction, and bone, cartilage, and nerve grafting. Future directions for tissue engineering in plastic surgery include the development of prevascularized constructs and rationally designed scaffolds, the use of stem cells to regenerate organs and tissues, and gene therapy.
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Affiliation(s)
- Alyssa Reiffel Golas
- Division of Plastic Surgery, Weill Cornell Medical College, 525 E 68th Street, Payson 709A, New York, NY, 10065, USA.
| | - Karina A Hernandez
- Division of Plastic Surgery, Weill Cornell Medical College, 525 E 68th Street, Payson 709A, New York, NY, 10065, USA
| | - Jason A Spector
- Division of Plastic Surgery, Weill Cornell Medical College, 525 E 68th Street, Payson 709A, New York, NY, 10065, USA
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Abstract
The last decade has brought a major challenge to the traditional practice of plastic surgery from corporations that treat plastic surgery as a commercial product and market directly to the public. This corporate medicine model may include promotion of a trademarked procedure or device, national advertising that promises stunning results, sales consultants, and claims of innovation, superiority, and improved safety. This article explores the ethics of this business practice and whether corporate medicine is a desirable model for patients and plastic surgeons.
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Affiliation(s)
- Eric Swanson
- Dr Swanson is a plastic surgeon in private practice in Leawood, Kansas
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Grant SB, Dixon JL, Glass NE, Sakran JV. Early surgical subspecialization: a new paradigm? Part I. Bull Am Coll Surg 2013; 98:38-42. [PMID: 24205574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- Scott B Grant
- Robert Wood Johnson Medical School, New Brunswick, NJ, USA
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Eaves FF, Rohrich RJ, Sykes JM. Taking evidence-based plastic surgery to the next level: report of the second Summit on Evidence-based Plastic Surgery. Aesthet Surg J 2013; 33:735-43. [PMID: 23813399 DOI: 10.1177/1090820x13493766] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Applying the principles of evidence-based medicine has the potential to drastically improve quality of care and patient outcomes. For this reason, evidence-based medicine has been held as one of the 15 most important developments in medicine within the past 100 years. In August of 2010, a broad coalition of leaders from numerous organizations representing societies, boards, journals, foundations, and academic institutions met in Colorado Springs, Colorado, for the first Evidence-Based Plastic Surgery Summit. The summit signaled a sea change in the approach of organized plastic surgery to the promotion of evidence-based medicine within the specialty. It was determined that a strategic, coordinated, and sustained effort to drive an evidence-based medicine culture would accelerate adoption and advance quality of care and patient safety. Over the past 2 years, many of the goals of the initial summit have been met. In order to take our evidence-based medicine efforts to the next level, a second summit was recently held to redefine goals, focus efforts, address barriers, and launch new initiatives with broad consensus. This article documents the outcomes of the second Evidence-Based Plastic Surgery Summit.
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Affiliation(s)
- Felmont F Eaves
- Emory University School of Medicine, Atlanta, GA 30327, USA.
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Krueger N, Luebberding S, Sattler G, Hanke CW, Alexiades-Armenakas M, Sadick N. The history of aesthetic medicine and surgery. J Drugs Dermatol 2013; 12:737-742. [PMID: 23884484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The history of beauty is as old as mankind itself--throughout history people have tried to improve their attractiveness and to enhance their beauty. The technical basis for many of nowadays procedures like lipoplasty, breast augmentation or rhinoplasty was thereby initiated more than a hundred years ago and evolved to the modern standards of today. The aim of this article is to recall the early days of aesthetic medicine and show the swift progress up to the highly specialized medical discipline of our modern time. Combining the past, present and future of aesthetic medicine, allows to incorporate this perspective and ultimately to delivery better patient care.
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Affiliation(s)
- Nils Krueger
- Division of Cosmetic Science, University of Hamburg, Germany.
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Kieran I, Fitzgerald E, Murphy S, O'Shaughnessy M. Changes in the workload composition in a plastic surgery unit over a 12 year period. Ir J Med Sci 2013; 182:657-62. [PMID: 23575627 DOI: 10.1007/s11845-013-0948-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2012] [Accepted: 04/01/2013] [Indexed: 11/27/2022]
Abstract
BACKGROUND Guidelines issued by the British Association of Plastic Reconstructive and Aesthetic Surgeons suggest that the ratio of elective to emergency cases in plastic surgery units should be 2:1. AIM To investigate how the workload composition of a regional plastic surgery unit compared with these guidelines. METHODS The changes in the workload composition of a regional plastic surgery unit were examined by retrospectively analysing all plastic and reconstructive surgery cases performed over 12 years (1998-2009). RESULTS This time period saw a change from a 1:2 ratio of elective to trauma procedures, to the recommended ratio, at a time when the overall caseload increased by almost 40 % (3,281 procedures in 1998 to 4,529 procedures in 2009). CONCLUSION Expansion of staff numbers at consultant and non-consultant grades, and increased resources (allocated theatre sessions and outpatient clinics) were pivotal to this change.
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Affiliation(s)
- I Kieran
- Plastic and Reconstructive Surgery Department, Cork University Hospital, Wilton, Cork, Ireland,
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Hsu VM, Stransky CA, Bucky LP, Percec I. Fat grafting's past, present, and future: why adipose tissue is emerging as a critical link to the advancement of regenerative medicine. Aesthet Surg J 2012; 32:892-9. [PMID: 22942117 DOI: 10.1177/1090820x12455658] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Fat grafting is a common reconstructive and aesthetic procedure with extensive clinical applications. Recently, significant strides have been made in investigating the biology behind the success of this procedure. Surgeons and scientists alike have advanced this field by innovating fat graft harvesting and injection techniques, expanding the use of adipose tissue and its stem cell components, and broadening our understanding of the viability of fat grafting at the molecular and cellular levels. The objectives of this review are to (1) discuss the clinical applications of fat grafting, (2) describe the cellular biology of fat and the optimization of fat graft preparation, (3) illustrate the significance of adipose-derived stem cells and the potentiality of fat cells, (4) highlight the clinical uses of adipose-derived stem cells, and (5) explore the current and future frontiers of the study of fat grafting. Although collaborative knowledge has increased exponentially, many of the biological mechanisms behind fat grafting are still unknown. Plastic surgeons are in a unique position to pioneer both the scientific and clinical frontiers of fat grafting and to ultimately further this technology for the benefit of our patients.
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Affiliation(s)
- Vivian M Hsu
- Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, 19104, USA
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Abstract
The growth in the adoption of smartphones among clinicians has been phenomenal. The demand for medical applications, or "apps," downloaded by smartphone users has led to the development of practical and educational apps for clinicians, medical students, and patients. In addition to being a valuable resource for the clinician, mobile technologies are revolutionizing the nature and delivery of health care services. This article summarizes the current trends in the smartphone market and explores the medical apps that are currently available.
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Schwartz RA. 15(th) Annual Congress, Cosmetic Dermatology Society of India, Bambolim, Goa, India, September 29 through October 2, 2011. Int J Dermatol 2011; 51:127-9. [PMID: 22182395 DOI: 10.1111/j.1365-4632.2011.05461_2.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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