Reconstructive surgery training: increased operative volume in plastic surgery residency programs.

Abstract:

BACKGROUND:Practitioners in other surgical specialties have increasingly advanced their volume of reconstructive procedures traditionally served by plastic surgeons. Because there has not been a previous specialty training comparison, the average operative reconstructive volume of graduating plastic surgery residents was formally compared with that of other specialties. METHODS:The authors review the case log statistical reports of the Accreditation Council for Graduate Medical Education. For each specialty, this annual report highlights the average number of cases performed for all graduating residents. The national case log reports were reviewed for orthopedic surgery, otolaryngology, and plastic surgery. Six procedures were compared for residents graduating in the 2006 to 2010 academic years and are reviewed. A two-sample Welch-Satterthwaite t test for independent samples with heterogeneous variance was conducted to compare the average number of procedures performed per graduating resident. RESULTS:Graduates of plastic surgery residencies compared with graduates of other specialties performed more cleft lip and palate repairs, hand amputation, hand fracture, and nasal fracture procedures. This difference showed statistical significance for all years examined (2006 to 2010). For repair of mandible fractures, plastic surgery trainees had significantly more cases for 2006 to 2009 but not 2010. CONCLUSIONS:The quantitative operative experience of graduating plastic surgery residents for selected reconstructive cases is above that of the average graduating trainee outside of plastic surgery. Given the exposure and strength of plastic surgery training, plastic surgeons should remain at the forefront of reconstructive surgery.

journal_name

Plast Reconstr Surg

authors

Tanna N,Boyd JB,Kawamoto HK,Miller TA,Da Lio AL,Azhar H,Bradley JP

doi

10.1097/PRS.0b013e3182402f17

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

781-788

issue

3

eissn

0032-1052

issn

1529-4242

pii

00006534-201203000-00043

journal_volume

129

pub_type

杂志文章,收录出版
  • Reaction to injectable collagen: results in animal models and clinical use.

    abstract::Since its commercial release, Zyderm collagen implant has been used to treat more than 200,000 subjects in the United States for soft-tissue contour defects and more than 250,000 patients internationally (including the United States). Approximately 3 percent of subjects' skin tested with Zyderm collagen experience loc...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: DeLustro F,Smith ST,Sundsmo J,Salem G,Kincaid S,Ellingsworth L

    更新日期:1987-04-01 00:00:00

  • A New and Innovative Method of Preoperatively Planning and Projecting Vascular Anatomy in DIEP Flap Breast Reconstruction: A Randomized Controlled Trial.

    abstract:BACKGROUND:In deep inferior epigastric perforator (DIEP) flap breast reconstructions, a free tissue flap from the abdomen is shaped into a breast and transferred to the thorax. Survival of this free flap relies on minuscule blood vessels, so-called perforators, providing blood supply to this newly molded breast. Preope...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PRS.0000000000005614

    authors: Hummelink S,Hoogeveen YL,Schultze Kool LJ,Ulrich DJO

    更新日期:2019-06-01 00:00:00

  • A 25-year experience with hemicorporectomy for terminal pelvic osteomyelitis.

    abstract:BACKGROUND:Hemicorporectomy involves amputation of the pelvis and lower extremities by disarticulation through the lumbar spine with concomitant transection of the aorta, inferior vena cava, and spinal cord. In addition, conduits are constructed for diversion of both the urinary and fecal streams. Of 57 cases reported ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181b61169

    authors: Janis JE,Ahmad J,Lemmon JA,Barnett CC Jr,Morrill KC,McClelland RN

    更新日期:2009-10-01 00:00:00

  • Urokinase protocol for free-flap salvage following prolonged venous thrombosis.

    abstract::The incidence of free-flap failure is reported at 4 to 5 percent. Often, these failures are attributed to postoperative venous thrombosis with salvage rates reported at 42 percent. The use of thrombolytics has been effective in laboratory protocols; however, there have been only case reports to substantiate their use ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199811000-00021

    authors: Serletti JM,Moran SL,Orlando GS,O'Connor T,Herrera HR

    更新日期:1998-11-01 00:00:00

  • Impact of perforator mapping using multidetector-row computed tomographic angiography on free thoracodorsal artery perforator flap transfer.

    abstract:BACKGROUND:The preoperative localization of thoracodorsal artery perforators has been a challenge because of their topographic variation. METHODS:From November of 2005 to January of 2007, 25 patients underwent free thoracodorsal artery perforator flap transfer for reconstruction of the lower extremities (22 flaps) and...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31818458b3

    authors: Mun GH,Kim HJ,Cha MK,Kim WY

    更新日期:2008-10-01 00:00:00

  • The V-Y advancement myotarsocutaneous flap for upper eyelid reconstruction.

    abstract::The V-Y advancement myotarsocutaneous flap was used to avoid excessive scarring during reconstruction of a full-thickness upper eyelid defect following surgical excision of a malignant tumor. This method has a number of advantages: It has a short operative time, it is a one-stage procedure, it does not require lining ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199709001-00025

    authors: Okada E,Iwahira Y,Maruyama Y

    更新日期:1997-09-01 00:00:00

  • Augmentation of the free border of the lip in cleft lip patients using temporoparietal fascia.

    abstract::Deficiency of the free border of the lip is frequently encountered in secondary cleft lip deformities. The free border of the lip consists of the orbicularis oris marginalis muscle and its overlying subcutaneous tissue, vermilion, and mucosa. The pathology may involve any or all of these components. When there is an a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Chen PK,Noordhoff MS,Chen YR,Bendor-Samuel R

    更新日期:1995-04-01 00:00:00

  • The chin: skeletal and soft-tissue components.

    abstract::The quantity of soft tissue overlying the symphysis menti affords an important attribute that can aid in determination of the correct surgical approach for optimal facial harmony. Xerograms of the facial profile of 100 patients with normal occlusion were analyzed by accepted radiographic cephalometric techniques. The ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Michelow BJ,Guyuron B

    更新日期:1995-03-01 00:00:00

  • Evolving thoughts on correcting posttraumatic enophthalmos.

    abstract::Posttraumatic enophthalmos, though a difficult problem, is correctable by traditional craniofacial techniques. Based on considerable experience with these wide exposure operations, our surgical strategy has evolved and has been distilled into one of limited exposure via lateral upper blepharoplasty, transconjunctival ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199804040-00003

    authors: Longaker MT,Kawamoto HK Jr

    更新日期:1998-04-01 00:00:00

  • Improved myoelectric prosthesis control accomplished using multiple nerve transfers.

    abstract:BACKGROUND:The control of shoulder-level disarticulation prostheses is significantly more difficult than that of prostheses for more distal amputations. Amputees have significant difficulties coordinating the separate functions of prosthetic shoulder, elbow, wrist, and hand/hook components. The user must lock one joint...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000242487.62487.fb

    authors: Hijjawi JB,Kuiken TA,Lipschutz RD,Miller LA,Stubblefield KA,Dumanian GA

    更新日期:2006-12-01 00:00:00

  • Quantitative assessment of osseous, ocular, and periocular changes after hypertelorism surgery.

    abstract::The purpose of this study was to develop a methodology to quantify osseous, ocular, and periocular fat changes caused by correction of orbital hypertelorism to test the hypothesis that there is a quantitatively predictable relationship between the movement of the osseous orbit and that of the ocular globe. A retrospec...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Panchal J,Kim YO,Stelnicki E,Pilgram T,Marsh JL

    更新日期:1999-07-01 00:00:00

  • Syngeneic Transplantation of Rat Olfactory Stem Cells in a Vein Conduit Improves Facial Movements and Reduces Synkinesis after Facial Nerve Injury.

    abstract:BACKGROUND:Posttraumatic facial paralysis is a disabling condition. Current surgical management by faciofacial nerve suture provides limited recovery. To improve the outcome, the authors evaluated an add-on strategy based on a syngeneic transplantation of nasal olfactory stem cells in a rat model of facial nerve injury...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000007367

    authors: Bense F,Montava M,Duclos C,Bisson A,Delarue Q,Mardion NB,Boyer O,Féron F,Guérout N,Marie JP

    更新日期:2020-12-01 00:00:00

  • Standardization in photography for body contour surgery and suction-assisted lipectomy.

    abstract::Despite the existence of basic clinical standards in plastic surgery, specific guidelines for body contour photography have not been detailed previously. In this report we propose standard and supplemental views for positioning of the subject for suction-assisted lipectomy and body contour surgery. Also demonstrated a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199707000-00034

    authors: Gherardini G,Matarasso A,Serure AS,Toledo LS,DiBernardo BE

    更新日期:1997-07-01 00:00:00

  • Pedicled vascularized rib transfer for reconstruction of clavicle nonunions with bony defects: anatomical and biomechanical considerations.

    abstract:BACKGROUND:Clavicular nonunions with large bony defects, although rare, are difficult to treat and often result from multiple failed attempts at surgical management. Reconstruction using vascularized bone graft is the accepted standard in cases of large osseous defects. METHODS:An anatomical vascular corrosion study w...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000263537.57701.8b

    authors: Werner CML,Favre P,van Lenthe HG,Dumont CE

    更新日期:2007-07-01 00:00:00

  • Intravenous Hyaluronidase with Urokinase as Treatment for Rabbit Retinal Artery Hyaluronic Acid Embolism.

    abstract:BACKGROUND:Although various salvage methods have been proposed to treat intraretinal artery hyaluronic acid embolism, their applications are still limited by various factors. The authors investigated the effectiveness of intravenous hyaluronidase with urokinase for resolving retinal artery hyaluronic acid embolism. ME...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000002803

    authors: Chiang C,Zhou S,Chen C,Ho DS,Zhang H,Liu K

    更新日期:2016-12-01 00:00:00

  • The Efficacy of Intense Pulsed Light Therapy in Postoperative Recovery from Eyelid Surgery.

    abstract:BACKGROUND:The purpose of this study was to evaluate the efficacy of postoperative intense pulsed light therapy on patients who undergo bilateral eyelid surgery. METHODS:Patients presenting over a 3-month period for bilateral eyelid surgery were asked to participate in an institutional review board-approved study. Int...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PRS.0000000000002086

    authors: Linkov G,Lam VB,Wulc AE

    更新日期:2016-05-01 00:00:00

  • Ultrasound diagnosis of cleft lip and cleft palate before birth.

    abstract::Real-time ultrasonography in pregnancy can accurately detect gestational age, position of the fetus, position of the placenta, sex of the fetus, and many congenital anomalies before birth. To date, however, there has been no report of detection of a cleft lip-palate deformity by ultrasound. Two cases, in approximately...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198112000-00002

    authors: Christ JE,Meininger MG

    更新日期:1981-12-01 00:00:00

  • Reduction mammaplasty and correction of ptosis: a personal technique.

    abstract::New upper pedicle reduction mammaplasty and mastopexy techniques are presented. The surgical steps are described point by point. An analysis is made of the results obtained in 25 patients who underwent surgery between November of 1987 and November of 1988 and were examined in December of 1990 with a mean follow-up of ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199305000-00012

    authors: Marconi F,Cavina C

    更新日期:1993-05-01 00:00:00

  • Facial Nerve Danger Zones.

    abstract::Facial nerve injury is one of the most feared complications in surgical rejuvenation of the aging face. Understanding the three-dimensional architecture of the facial soft tissue, the fascial planes that exist within this architectural arrangement, and the danger zones where the facial nerve is situated superficial an...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000006401

    authors: Stuzin JM,Rohrich RJ

    更新日期:2020-01-01 00:00:00

  • Surgical correction of Stahl's ear using the cartilage turnover and rotation method.

    abstract::Various operative methods for the correction of Stahl's ear exist. We, however, have devised an alternative "turnover and rotation" procedure. In this procedure, the deformed cartilage itself is used in its original contour to form a new scaphoid fossa, thus simplifying the corrective procedure and establishing a reli...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198901000-00031

    authors: Sugino H,Tsuzuki K,Bandoh Y,Tange I

    更新日期:1989-01-01 00:00:00

  • Plastic surgeon's life: marvelous for mind, exhausting for body.

    abstract::Surgery is accepted as one of the most demanding professions that create both physical and mental strain on the performers. Therefore, the authors aimed to elucidate the mental burden of surgeons, which is dedicated to operative stress. They also tested the hypotheses that participating in surgery creates mental stres...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000133166.50279.7c

    authors: Demirtas Y,Tulmac M,Yavuzer R,Yalcin R,Ayhan S,Latifoglu O,Atabay K

    更新日期:2004-09-15 00:00:00

  • Shared medical appointments for preoperative evaluation of symptomatic macromastia.

    abstract:BACKGROUND:Shared medical appointments combine individual patient-physician encounters with a group educational segment. This allows for patients' needs to be addressed individually and for patients to benefit from shared learning. Shared medical appointments enhance knowledge, understanding, and management of disease ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000750

    authors: Giladi AM,Brown DL,Alderman AK

    更新日期:2014-12-01 00:00:00

  • Congenital midline nasal muscle with associated nasal deformity.

    abstract::A case is presented of a congenital nasal deformity consisting of a midline nasal muscle, alar cartilage defect, and partially obstructed nostril. The embryology of nasal development is reviewed, and an attempt is made to explain this unique anomaly. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198103000-00015

    authors: Bauer BS,Kernahan DA

    更新日期:1981-03-01 00:00:00

  • Management of the infected or exposed breast prosthesis: a single surgeon's 15-year experience with 69 patients.

    abstract:BACKGROUND:In 2004, the senior author (S.L.S.) published an algorithm for the management of breast device infection and/or exposure. The purpose of this study was to build on the authors' prior experience by expanding the cohort of patients and to identify risk factors for failed breast device salvage and recurrent inf...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181d17fff

    authors: Spear SL,Seruya M

    更新日期:2010-04-01 00:00:00

  • Introducing Knowledge Translation to Plastic Surgery: Turning Evidence into Practice.

    abstract::Best evidence has no bearing on quality of life if it is not implemented in clinical practice. The authors introduce knowledge translation as a theoretical framework for closing the gap between evidence and practice in plastic surgery. The current state of published evidence in plastic surgery is reviewed and evaluate...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000004891

    authors: Moltaji S,Alkhatib AH,Liu H,Murphy J,Gallo L,Karpinski M,Mowakket S,Thoma A

    更新日期:2018-11-01 00:00:00

  • Inferior External Pudendal Artery Anastomosis: Additional Approach to Prevent Skin Necrosis in Replanted Penis.

    abstract:BACKGROUND:Microsurgical anastomosis of the dorsal artery of the penis either with or without anastomosis of the cavernosal artery is the preferred technique for penile replantation. However, postoperative penile skin necrosis is commonly reported with this technique. This study aimed to characterize the anatomy of the...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000004818

    authors: Lohasammakul S,Turbpaiboon C,Ratanalekha R,Ungprasert P,Yodrabum N

    更新日期:2018-10-01 00:00:00

  • Treatment of axillary burn scar contracture using an arterialized scapular island flap.

    abstract::A case of an axillary burn scar contracture treated with a scapular island flap is presented. We believe that this will be a useful addition to the treatment of burn scar contractures of the axilla. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198309000-00024

    authors: Dimond M,Barwick W

    更新日期:1983-09-01 00:00:00

  • Bone regeneration in the hard palate after cleft palate surgery.

    abstract:BACKGROUND:The purpose of this study was to observe bony healing in the hard palate after cleft palate repair and to discuss the factors affecting it. METHODS:Fifty-two patients with repaired cleft palate were examined at least 1 year postoperatively by means of computed tomographic scanning. The incidence of bone reg...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000156777.99552.1d

    authors: Yin N,Ma L,Zhang Z

    更新日期:2005-04-15 00:00:00

  • Diastematomyelia: a congenital anomaly not to be confused with a giant hairy nevus.

    abstract::The role of the plastic surgeon in the diagnosis and management of congenital anomalies is often a complicated one that involves the integration of input from numerous specialists into the evaluation process. Diastematomyelia is a serious neurosurgical problem that often presents with cutaneous findings in a neurologi...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Weinzweig J,Holman PD,Rekate HL

    更新日期:1995-07-01 00:00:00

  • Dermabrasion debridement of the deep dermal burn.

    abstract::Dermabrasion debridement is presented as another method for tangential excision of "deep dermal" burns, with immediate or early skin grafting. The advantages in selected cases seem to be: (1) a more rapid healing; (2) a more stable end result, because dermis is present; (3) prevents spontaneous healing with unstable e...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197707000-00009

    authors: Krant SM,Arons MS

    更新日期:1977-07-01 00:00:00