A/Prof Marucci is a plastic and reconstructive surgeon with special interests in craniofacial surgery, cosmetic surgery, reconstructive surgery after cancer and surgical education. He is an Associate Professor of Surgery at the University of Sydney
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Each month the plastic surgery journal club reviews recent articles and records a podcast summary for all to enjoy. Great for those revising or trying to catch up on the latest plastic surgery and reconstruction innovation
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In the patient education podcast, A/Prof Damian Marucci discusses the common condition of positional plagiocephaly - where babies have flatness of the backs of their head. This condition is different to craniosynostosis - where the bones of the skull have fused early, but it is important to have the head shape checked by a doctor.…
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In this patient education podcast, A/Prof Damian Marucci outlines the diagnosis and management of craniosynostosis. Craniosynostosis is treated in different ways by different craniofacial units. This podcast aims to provide a broad overview of the nature of craniosynostosis, its diagnosis and management as well as the potential complications of tre…
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Facial aging, Facelift and Necklift Surgery
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In this patient education podcast, A/Prof Damian Marucci describes facial aging, facelift surgery and necklift surgeryBy Damian Marucci
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This is a patient education podcast by Plastic and Reconstructive Surgeon, A/Prof Damian Marucci, outlining the process of breast reconstruction using implantsBy Damian Marucci
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A New Technique for Functional Reanimation of the Eye Sphincter in Longstanding Facial Paralysis
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Nassif T, Yung Chia C. Neurotized Platysma Graft: A New Technique for Functional Reanimation of the Eye Sphincter in Longstanding Facial Paralysis. Plast Reconstr Surg. 2019 Dec;144(6):1061e-1070e. doi: 10.1097/PRS.0000000000006296. PMID: 31764664.By Shiv Chopra & Damian Marucci
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Go over the anatomy of the neck- useful from surgical exploration to neck dissections and in this paper...for migrane treatment!Amirlak B, Lu KB, Erickson CR, Sanniec K, Totonchi A, Peled ZM, Cheng JC. In-Depth Look at the Anatomical Relationship of the Lesser Occipital Nerve, Great Auricular Nerve, and Spinal Accessory Nerve and Their Implication …
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Surgical Treatment for Capsular Contracture: A New Paradigm and Algorithm.
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Is the use of ADM the answer to surgical treatment of CAPCON? Or just an expensive optionHidalgo DA, Weinstein AL. Surgical Treatment for Capsular Contracture: A New Paradigm and Algorithm. Plast Reconstr Surg. 2020 Sep;146(3):516-525. doi: 10.1097/PRS.0000000000007079. PMID: 32842102.By Shiv Chopra & Damian Marucci
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Stability of Long-Term Outcomes in Implant-Based Breast Reconstruction
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Find out if long term outcomes of breast cancer reconstruction with implant based reconstruction really do worsen with time.Seth AK, Cordeiro PG. Stability of Long-Term Outcomes in Implant-Based Breast Reconstruction: An Evaluation of 12-Year Surgeon- and Patient-Reported Outcomes in 3489 Nonirradiated and Irradiated Implants. Plast Reconstr Surg. …
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Meshed and Nonmeshed Acellular Dermal Matrix in Immediate Breast Reconstruction
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To mesh or not to mesh...that is the questionMaisel Lotan A, Ben Yehuda D, Allweis TM, Scheflan M. Comparative Study ofMeshed and Nonmeshed Acellular Dermal Matrix in Immediate Breast Reconstruction. Plast Reconstr Surg. 2019 Nov;144(5):1045-1053. doi:10.1097/PRS.0000000000006116By Shiv Chopra & Damian Marucci
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Free Perforator Flap Selection in Lower Extremity Reconstruction
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Algorithm for Free Perforator Flap Selection in Lower Extremity Reconstruction Based on 563 Cases.Abdelfattah U, Power HA, Song S, Min K, Suh HP, Hong JP. Algorithm for FreePerforator Flap Selection in Lower Extremity Reconstruction Based on 563 Cases.Plast Reconstr Surg. 2019 Nov;144(5):1202-1213. doi:10.1097/PRS.0000000000006167.…
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Ear Reconstruction after Mohs Cancer Excision
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An algorithym for ear reconstruction Sanniec K, Harirah M, Thornton JF. Ear Reconstruction after Mohs CancerExcision: Lessons Learned from 327 Consecutive Cases. Plast Reconstr Surg. 2019Sep;144(3):719-729. doi: 10.1097/PRS.0000000000005992By Shiv Chopra & Damian Marucci
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Assessment of Columellar Strut versus Caudal SeptalExtension GraftSawh-Martinez R, Perkins K, Madari S, Steinbacher DM. Control of Nasal TipPosition: Quantitative Assessment of Columellar Strut versus Caudal SeptalExtension Graft. Plast Reconstr Surg. 2019 Nov;144(5):772e-780e. doi:10.1097/PRS.0000000000006178…
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Nasal Reconstruction Using the Integra Dermal Regeneration Template
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Move aside Zitelli and skin grafts and make way for Integra!Seth AK, Ratanshi I, Dayan JH, Disa JJ, Mehrara BJ. Nasal Reconstruction Usingthe Integra Dermal Regeneration Template. Plast Reconstr Surg. 2019Oct;144(4):966-970By Shiv Chopra & Damian Marucci
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Intraoperative navigatation in the management of acute facial fractures
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Try and navigate your way through all the bias in this paper!ergeron L, Bouchard S, Bonapace-Potvin M, Bergeron F. Intraoperative SurgicalNavigation Reduces the Surgical Time Required to Treat Acute Major FacialFractures. Plast Reconstr Surg. 2019 Oct;144(4):923-931. doi:10.1097/PRS.0000000000006040By Shiv Chopra & Damian Marucci
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Is it cost effective to monitor autologous breast reconstruction flaps after day 3?
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Will you send your autologous breast reconstruction patient home at day 3 after reading this paper?ablonka EM, Lamelas AM, Kanchwala SK, Rhemtulla I, Smith ML. A SimplifiedCost-Utility Analysis of Inpatient Flap Monitoring after Microsurgical BreastReconstruction and Implications for Hospital Length of Stay. Plast Reconstr Surg.2019 Oct;144(4):540e…
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Comparing infection rates of Prepectoral vs Subpectoral Breast Reconstruction
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Momeni A, Remington AC, Wan DC, Nguyen D, Gurtner GC. A Matched-Pair Analysis of Prepectoral with Subpectoral Breast Reconstruction: Is There a Difference in Postoperative Complication Rate? Plast Reconstr Surg. 2019 Oct;144(4):801-807.doi: 10.1097/PRS.0000000000006008By Shiv Chopra & Damian Marucci
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Reconstruction in lower extremity trauma is safe within 10 days: An update of the Godina paradigm
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Do we really need to reconstruct lower limbs within 72 hours for a safe outcome?Lee ZH, Stranix JT, Rifkin WJ, Daar DA, Anzai L, Ceradini DJ, Thanik V, SaadehPB, Levine JP. Timing of microsurgical reconstruction in lower extremity trauma: An update of the Godina paradigm. Plast Reconstr Surg. 2019 Jun 7. doi:10.1097/PRS.0000000000005955.…
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Microsurgical Breast Reconstruction in the Obese
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Are free flaps safer in obese women undergoing breast reconstruction?Klement KA, Hijjawi JB, LoGiudice JA, Alghoul M, Omesiete-Adejare P.Microsurgical Breast Reconstruction in the Obese: A Better Option Than TissueExpander/Implant Reconstruction? Plast Reconstr Surg. 2019 Sep;144(3):539-546.doi: 10.1097/PRS.0000000000005897…
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Improved breast sensation after DIEP reconstruction and only an extra 15 minutes!
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Beugels J, Cornelissen AJM, van Kuijk SMJ, Lataster A, Heuts EM, Piatkowski A,Spiegel AJ, van der Hulst RRWJ, Tuinder SMH. Sensory Recovery of the Breastfollowing Innervated and Noninnervated DIEP Flap Breast Reconstruction. PlastReconstr Surg. 2019 Aug;144(2):178e-188e. doi: 10.1097/PRS.0000000000005802.…
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ALCL from textured implants in the buttocks...its offical Mendes J Jr, Mendes Maykeh VA, Frascino LF, Zacchi FFS. GlutealImplant-Associated Anaplastic Large Cell Lymphoma. Plast Reconstr Surg. 2019Sep;144(3):610-613. doi: 10.1097/PRS.0000000000005910By Shiv Chopra & Damian Marucci
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Hyaluronidase as a Treatment for Filler-Induced Blindness
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Assessing Retrobulbar Hyaluronidase as a Treatment for Filler-Induced Blindness in a Cadaver Model. Paap MK, Milman T, Ugradar S, Silkiss RZ. Assessing Retrobulbar Hyaluronidase as a Treatment for Filler-Induced Blindness in a Cadaver Model. Plast ReconstrSurg. 2019 Aug;144(2):315-320. doi: 10.1097/PRS.0000000000005806…
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What is "Breast in a Day" reconstruction and is it better/safer than a more traditional implant reconstruction?Antony AK, Poirier J, Madrigrano A, Kopkash KA, Robinson EC. Evolution of the Surgical Technique for "Breast in a Day" Direct-to-Implant Breast Reconstruction:Transitioning from Dual-Plane to Prepectoral Implant Placement. Plast Reconstr S…
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Pakistan Comprehensive Fistula Classification
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Does a team in Pakistan have the most comprehensive Fistula classification and Algorithm for repair?Fayyaz GQ, Gill NA, Ishaq I, Aslam M, Chaudry A, Ganatra MA, Obaid O, TararMN, Chen PK, Laub DR. Pakistan Comprehensive Fistula Classification: A NovelScheme and Algorithm for Management of Palatal Fistula/Dehiscence. Plast Reconstr Surg. 2019 Jan;14…
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Outcomes of Corticosteroid Treatment for Trigger Finger by Stage.
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Can steroids improve symptoms and function for all stages of trigger finger disease?Shultz KJ, Kittinger JL, Czerwinski WL, Weber RA. Outcomes of CorticosteroidTreatment for Trigger Finger by Stage. Plast Reconstr Surg. 2018Oct;142(4):983-990By Shiv Chopra & Damian Marucci
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Superficial Circumflex Iliac Artery Perforator Flap: An Anatomical Study
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Yoshimatsu H, Steinbacher J, Meng S, Hamscha UM, Weninger WJ, Tinhofer IE,Harima M, Fuse Y, Yamamoto T, Tzou CHJ. Superficial Circumflex Iliac ArteryPerforator Flap: An Anatomical Study of the Correlation of the Superficial andthe Deep Branches of the Artery and Evaluation of Perfusion from the Deep Branch to the Sartorius Muscle and the Iliac Bone…
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Breast Reconstruction with Free Abdominal Flaps Is Associated with Venous Stasis.
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Momeni A, Sorice SC, Li AY, Nguyen DH, Pannucci C. Breast Reconstruction with Free Abdominal Flaps Is Associated with Persistent Lower Extremity Venous Stasis.Plast Reconstr Surg. 2019 Jun;143(6):1144e-1150eBy Shiv Chopra & Damian Marucci
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Does Cartilage-Sparing Otoplasty stand the test of time?
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Mazeed AS, Bulstrode NW. Refinements in Otoplasty Surgery: Experience of 200Consecutive Cases Using Cartilage-Sparing Technique. Plast Reconstr Surg. 2019Jul;144(1):72-80By Shiv Chopra & Damian Marucci
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The Submental Flap in Facial Reconstruction: Evolution and Technical Refinements
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You might go mental for the submental pedicled flap the next time you perform a head and neck reconstructive case after listening to this paper's review?!Bertrand B, Honeyman CS, Emparanza A, McGurk M, Ousmane Hamady IE, Schmidt A, Sinna R, Pittet-Cuénod B, Zwetyenga N, Martin D. Twenty-Five Years of Experience with the Submental Flap in Facial Rec…
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Treatment of Apert Hand Syndrome: Strategies for Achieving a Five-Digit Hand
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Strategies for Achieving a Five-Digit Hand in Apert'sRaposo-Amaral CE, Denadai R, Furlan P, Raposo-Amaral CA. Treatment of ApertHand Syndrome: Strategies for Achieving a Five-Digit Hand. Plast Reconstr Surg.2018 Oct;142(4):972-982By Shiv Chopra & Damian Marucci
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Highest Risk of ALCL in ANZ is with Grade 4 Surface Breast Implants
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In a first of its kind an ANZ study reveals the relative risk for local patients obtaining ALCL following breast implants and how the risk varies with implant type. Magnusson M, Beath K, Cooter R, Locke M, Prince HM, Elder E, Deva AK. TheEpidemiology of Breast Implant-Associated Anaplastic Large Cell Lymphoma inAustralia and New Zealand Confirms th…
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Comparing reconstructive outcomes of pateints with Gustilo 3B and varying arterial injury
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Does having more arterial injury in a Gustilo 3B patient increase the reconstructive flap failure rate? Ricci JA, Stranix JT, Lee ZH, Jacoby A, Anzai L, Thanik VD, Saadeh PB, Levine JP. Comparing Reconstructive Outcomes in Patients with Gustilo Type IIIBFractures and Concomitant Arterial Injuries. Plast Reconstr Surg. 2019May;143(5):1522-1529…
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Segmental Gracilis Transplantation for Midfacial Animation in Möbius Syndrome
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Roy M, Klar E, Ho ES, Zuker RM, Borschel GH. Segmental Gracilis MuscleTransplantation for Midfacial Animation in Möbius Syndrome: A 29-Year Experience.Plast Reconstr Surg. 2019 Mar;143(3):581e-591eBy Shiv Chopra & Damian Marucci
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How best to reconstruct the breast following BIA-ALCL
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A summary of the management of BIA-ALCL and the possible reconstructive options for patients following explantation Lamaris GA, Butler CE, Deva AK, Miranda RN, Hunt KK, Connell T, Lipa JE,Clemens MW. Breast Reconstruction Following Breast Implant-Associated Anaplastic Large Cell Lymphoma. Plast Reconstr Surg. 2019 Mar;143…
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Vascular and nerve relations of the Marginal Mandibular Nerve to the face
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The facial vein is more consistent with its anatomy/relationship with the marginal mandibular nerve than the facial artery...Touré G, Tran de Fremicourt MK, Randriamanantena T, Vlavonou S, Priano V,Vacher C. Vascular and Nerve Relations of the Marginal Mandibular Nerve of theFace: Anatomy and Clinical Relevance. Plast Reconstr Surg. 2019…
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Is the medial thigh a suitable donor site for locoregional reconstruction?
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The superficial femoral artery and or its branches maybe useful options for loco regional reconstructionMohan AT, Zhu L, Morsy M, Sur YJ, Michalak GJ, Lachman N, Mardini S, Saint-CyrM. Reappraisal of Perforasomes of the Superficial Femoral, Descending Genicular, and Saphenous Arteries and Clinical Applications to Locoregional Reconstruction. Plast …
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Arteries of the face and their relevance for minimally invasive surgery
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A great summary of the relevant arterial anatomy for facial surgeryCotofana S, Lachman N. Arteries of the Face and Their Relevance for Minimally Invasive Facial Procedures: An Anatomical Review. Plast Reconstr Surg. 2019Feb;143(2):416-426By Shiv Chopra & Damian Marucci
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A Mycobacterium Jacuzzi- an outbreak of breast implant infections
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Mycobacterial infections after breast augmentation is extremely rare. Found out how one centre had 10 cases in just 5 months and why a Jacuzzi was so important in cracking the case!Scheflan M, Wixtrom RN. Over Troubled Water: An Outbreak of Infection Due to aNew Species of Mycobacterium following Implant-Based Breast Surgery. PlastReconstr Surg. 20…
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A new approach to the good old forehead flap
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Want to find out how to augment the venous drainage in your paramedian forehead flaps? Well this paper is for you!Wiener M, Karunanithy N, Pease N, Davies A, Walker N, Katsanos K, Aldridge B, Healy C. A New Approach to an Old Flap: A Technique to Augment Venous Drainage from the Paramedian Forehead Flap. Plast Reconstr Surg. 2019 Jan;143(1):269-271…
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Mycobacterium jacuzzi by Shiv Chopra & Damian MarucciBy Shiv Chopra & Damian Marucci
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Can Nitroglycerin Ointment reduce the Rate of Flap Necrosis in Immediate Breast Reconstruction?
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Can Nitroglycerin Ointment reduce the Rate of Mastectomy Flap Necrosis in Immediate Implant-Based Breast Reconstruction?Turin SY, Li DD, Vaca EE, Fine N. Nitroglycerin Ointment for Reducing the Rateof Mastectomy Flap Necrosis in Immediate Implant-Based Breast Reconstruction. Plast Reconstr Surg. 2018 Sep;142(3):264e-270e.…
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A Dynamic Anatomical Study into the risk of the "Brazillian Butt lift"
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Can sheering forces and the lack of a deep fascia be the major factors for the high complications rate in the "brazilian butt lift"? Del Vecchio DA, Villanueva NL, Mohan R, Johnson B, Wan D, Venkataram A,Rohrich RJ. Clinical Implications of Gluteal Fat Graft Migration: A DynamicAnatomical Study. Plast Reconstr Surg. 2018 Nov;142(5):1180-1192…
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A Comprehensive Theory of Breast Fascial Anatomy.
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Rehnke RD, Groening RM, Van Buskirk ER, Clarke JM. Anatomy of the Superficial Fascia System of the Breast: A Comprehensive Theory of Breast Fascial Anatomy. Plast Reconstr Surg. 2018 Nov;142(5):1135-1144By Shiv Chopra & Damian Marucci
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When is the right time to give Chemoprophylaxis in Autologous Breast Reconstruction
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Heparin before, during or after an autologous breast reconstruction?Bassiri-Tehrani B, Karanetz I, Bernik SF, Dec W, Lehman JC, Lerman OZ. TheTiming of Chemoprophylaxis in Autologous Microsurgical Breast Reconstruction.Plast Reconstr Surg. 2018 Nov;142(5):1116-1123.By Shiv Chopra & Damian Marucci
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The Functional Anatomy of the Deep Facial Fat Compartments
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Relevant paper for those that have an interest in facial aesthetics Cotofana S, Gotkin RH, Frank K, Koban KC, Targosinski S, Sykes JM, Schlager M,Schlattau A, Schenck TL. The Functional Anatomy of the Deep Facial FatCompartments: A Detailed Imaging-Based Investigation. Plast Reconstr Surg. 2019 Jan;143(1):53-63.…
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Incision Choices in Nipple-Sparing Mastectomy
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Can an algorithm help with your incision choice when planning a nipple sparing mastectomy and breast cancer reconstruction? Find outFrey JD, Salibian AA, Levine JP, Karp NS, Choi M. Incision Choices inNipple-Sparing Mastectomy: A Comparative Analysis of Outcomes and Evolution of a Clinical Algorithm. Plast Reconstr Surg. 2018 Dec;142(6):826e-835e…
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How risky is Interposition Vein Grafting in Head and Neck Free Flap Reconstruction?
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Dr Hanasono and his team talk through the risks of vein grafting in head and neck surgery Interposition Vein Grafting in Head and Neck Free Flap Reconstruction. Plast Reconstr Surg. 2018 Oct;142(4):1025-1034By Shiv Chopra & Damian Marucci
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How good is abdominal Function and Strength after Free Abdominally Based Breast Reconstruction?
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10 year follow up and questionnaires to patients who underwent free abdominal based reconstruction for their breast cancer.Nelson JA, Tecci MG, Lanni MA, Fischer JP, Fosnot J, Selber JC, Wu LC,Serletti JM. Function and Strength after Free Abdominally Based BreastReconstruction: A 10-Year Follow-Up. Plast Reconstr Surg. 2019Jan;143(1):22e-31e.…
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Salter-Harris Fractures of the Distal Phalanx: Treatment Algorithm
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Will this paper change the way you treat paediatric distal phalanx fractures?Gibreel W, Charafeddine A, Carlsen BT, Moran SL, Bakri K. Salter-HarrisFractures of the Distal Phalanx: Treatment Algorithm and Surgical Outcomes. Plast Reconstr Surg. 2018 Sep;142(3):720-729By Shiv Chopra & Damian Marucci
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A Review of Complications in Pediatric Tissue Expansion
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This paper reviews the use of expander devices in paediatric surgery.Gosain AK, Turin SY, Chim H, LoGiudice JA. Salvaging the Unavoidable: A Reviewof Complications in Pediatric Tissue Expansion. Plast Reconstr Surg. 2018Sep;142(3):759-768By Shiv Chopra & Damian Marucci
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Immediate versus Delayed DIEP Flap Reconstruction in Women requiring Postmastectomy Radiotherapy
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Do we no longer need to delay autologous reconstruction for breast cancer patients requiring post-operative radiotherapy?O'Connell RL, Di Micco R, Khabra K, Kirby AM, Harris PA, James SE, Power K,Ramsey KWD, Rusby JE. Comparison of Immediate versus Delayed DIEP FlapReconstruction in Women Who Require Postmastectomy Radiotherapy. Plast Reconstr Surg…
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