Daniel Boczar
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View article: The medical student of the future: redefining competencies in a transformative era
The medical student of the future: redefining competencies in a transformative era Open
Medical education is undergoing a profound transformation, driven by rapid technological advances, evolving pedagogical strategies, and the shifting demands of healthcare systems globally. This article explores the historical evolution of …
View article: Understanding the USMLE journey of Brazilian medical students and graduates: a narrative review
Understanding the USMLE journey of Brazilian medical students and graduates: a narrative review Open
Over the past decades, advances in medical technology and research have promoted the globalization of medicine, drawing medical students and physicians worldwide into seeking for better career and financial prospects, as well as enhanced c…
View article: Osseointegration of implant surfaces in metabolic syndrome and type‐2 diabetes mellitus
Osseointegration of implant surfaces in metabolic syndrome and type‐2 diabetes mellitus Open
This in vivo study evaluated the bone healing response around endosteal implants with varying surface topography/chemistry in a preclinical, large transitional model induced with metabolic syndrome (MS) and type‐2 diabetes mellitus (T2DM).…
View article: Bone Tissue Engineering (BTE) of the Craniofacial Skeleton, Part I: Evolution and Optimization of 3D-Printed Scaffolds for Repair of Defects
Bone Tissue Engineering (BTE) of the Craniofacial Skeleton, Part I: Evolution and Optimization of 3D-Printed Scaffolds for Repair of Defects Open
Bone tissue regeneration is a complex process that proceeds along the well-established wound healing pathway of hemostasis, inflammation, proliferation, and remodeling. Recently, tissue engineering efforts have focused on the application o…
View article: Bone Tissue Engineering (BTE) of the Craniofacial Skeleton, Part II: Translational Potential of 3D-Printed Scaffolds for Defect Repair
Bone Tissue Engineering (BTE) of the Craniofacial Skeleton, Part II: Translational Potential of 3D-Printed Scaffolds for Defect Repair Open
Computer-aided design/computer-aided manufacturing and 3-dimensional (3D) printing techniques have revolutionized the approach to bone tissue engineering for the repair of craniomaxillofacial skeletal defects. Ample research has been perfo…
View article: Hand Therapy Regimen for Functional Recovery Following Combined Face and Bilateral Hand Transplantation
Hand Therapy Regimen for Functional Recovery Following Combined Face and Bilateral Hand Transplantation Open
Intensive postoperative rehabilitation therapy is associated with positive functional recovery in hand transplants (HTs). Our goal is to share the hand therapy protocol developed for our patient who underwent a combined face and bilateral …
View article: Quantifying Facial Movement in Facial Palsy Patients using IPhone TrueDepth Technology
Quantifying Facial Movement in Facial Palsy Patients using IPhone TrueDepth Technology Open
PURPOSE: We developed a mobile application that uses iPhone/iPad TrueDepth Cameras to three-dimensionally (3D) measure smile movement. This technology was created by Apple (Cupertino, CA) for device security and recreational purposes. The …
View article: 94. Circulating Donor-derived Cell-free DNA: A Novel Non-invasive Biomarker for Immune Surveillance in Vascularized Composite Allotransplantation
94. Circulating Donor-derived Cell-free DNA: A Novel Non-invasive Biomarker for Immune Surveillance in Vascularized Composite Allotransplantation Open
Purpose: Current diagnosis of rejection in vascularized composite allotransplantation (VCA) relies on correlation of clinical examination with skin histopathology. However, these methods remain both subjective and semi-quantitative, and fr…
View article: 106. Tendon Tensioning in Hand Transplantation: Emerging Principles From the First Successful Full Face and Bilateral Hand Transplant
106. Tendon Tensioning in Hand Transplantation: Emerging Principles From the First Successful Full Face and Bilateral Hand Transplant Open
Purpose: Hand transplantation can restore form and function when conventional reconstruction falls short, but few technical details on tendon tensioning are reported in the literature and improper tensioning may lead to postoperative funct…
View article: Trends, Gaps, and Collaboration in Facial Transplantation: A Bibliometric Study
Trends, Gaps, and Collaboration in Facial Transplantation: A Bibliometric Study Open
Background: Facial transplantation (FT) has advanced extensively over the past two decades, with over 40 transplants performed to date. Over this time, the FT literature has evolved as well, from early discussions on ethics and feasibility…
View article: Vascularized Lymph Node Transfer for the Treatment of Posttraumatic Lower Extremity Lymphedema: A Preliminary Report
Vascularized Lymph Node Transfer for the Treatment of Posttraumatic Lower Extremity Lymphedema: A Preliminary Report Open
Background Posttraumatic lymphedema develops more frequently than expected and reports on its management are scarce in the literature. We aimed to report the clinical outcomes of a case series of posttraumatic lymphedema patients treated w…
View article: Combined Face and Bilateral Hand Transplant: Preparation, Execution, and Early Functional Outcomes
Combined Face and Bilateral Hand Transplant: Preparation, Execution, and Early Functional Outcomes Open
PURPOSE: Vascularized composite allotransplantation has redefined the frontiers of plastic and reconstructive surgery. The field has advanced considerably since the first successful hand transplant in 1998 and the first face transplant in …
View article: Double-barrel Fibula Flap Mandibular Reconstruction Is Safe and More Amenable to Immediate Dental Implantation than Single-barrel Fibula Flaps
Double-barrel Fibula Flap Mandibular Reconstruction Is Safe and More Amenable to Immediate Dental Implantation than Single-barrel Fibula Flaps Open
PURPOSE: The fibula flap is considered the gold standard for osseous reconstruction of head and neck defects. It offers consistent anatomy and adequate bone stock, as well as an unmatched ability for three-dimensional contouring permitted …
View article: Are Two Veins Better than One in Free Flap Head and Neck Reconstruction?
Are Two Veins Better than One in Free Flap Head and Neck Reconstruction? Open
PURPOSE: The most common postoperative complication in microvascular free flap reconstruction is venous congestion, accounting for more than 50% of flap failures. Given the lack of consensus on the use of single versus dual venous outflow,…
View article: Use of adipose-derived stem cells in lymphatic tissue engineering and regeneration
Use of adipose-derived stem cells in lymphatic tissue engineering and regeneration Open
The potential to differentiate into different cell lines, added to the easy and cost-effective method of extraction, makes adipose-derived stem cells (ADSCs) an object of interest in lymphedema treatment. Our study’s goal was to conduct a …
View article: Latissimus dorsi detrusor myoplasty for bladder acontractility: a systematic review
Latissimus dorsi detrusor myoplasty for bladder acontractility: a systematic review Open
Bladder acontractility affects several thousand patients in the United States, but the available therapies are limited. Latissimus dorsi detrusor myoplasty (LDDM) is a therapeutic option that allows patients with bladder acontractility to …
View article: A Prospective Evaluation of Intraoperative Indocyanine Green Fluorescence Angiography for Soft Tissue Sarcomas
A Prospective Evaluation of Intraoperative Indocyanine Green Fluorescence Angiography for Soft Tissue Sarcomas Open
Introduction: Postoperative wound complications after resection of soft-tissue sarcomas are challenging. Indocyanine green (ICG) angiography has previously been used to predict wound complications, but not for soft-tissue sarcomas. We aime…
View article: The 2020 Facial Transplantation Update: A 15-Year Compendium
The 2020 Facial Transplantation Update: A 15-Year Compendium Open
Summary Over the past 15 years, landmark achievements have established facial transplantation (FT) as a feasible reconstructive option for otherwise irreparable craniofacial defects. However, as the field matures and long-term outcomes beg…
View article: Surgical techniques of phalloplasty in transgender patients: a systematic review
Surgical techniques of phalloplasty in transgender patients: a systematic review Open
Gender confirmation surgery has a crucial role among transgender individuals. Phalloplasty is a procedure that uses flaps for phallic shaft creation. Flaps can be classified in free flaps or pedicle flaps and can be obtained from different…
View article: Single versus two-stage phalloplasty for transgender female-to-male patients: a systematic review of the literature
Single versus two-stage phalloplasty for transgender female-to-male patients: a systematic review of the literature Open
Phalloplasty is the main treatment for gender dysphoria disorder. It is difficult to ascertain if staging of phalloplasty influences the rate of complications. We aim to describe and compare the rates of complication between single versus …
View article: Treatment Contraindications Based on Comorbidity Status in Patients With Melanoma in the United States
Treatment Contraindications Based on Comorbidity Status in Patients With Melanoma in the United States Open
Demographic disparities affects treatment decision in oncological patients. Our study demonstrated a significantly higher likelihood of "nontreatment because of comorbid conditions" among melanoma patients with government insurance or with…
View article: Use of magnetic resonance imaging lymphangiography for preoperative planning in lymphedema surgery: A systematic review
Use of magnetic resonance imaging lymphangiography for preoperative planning in lymphedema surgery: A systematic review Open
Background In recent years, magnetic resonance imaging lymphangiography (MRL) has emerged as a way to predict if patients are candidates for lymphedema surgery, particularly lymphovenous anastomosis (LVA). Our goal was to conduct a systema…
View article: Evaluating Functional Outcomes in Reanimation Surgery for Chronic Facial Paralysis: A Systematic Review
Evaluating Functional Outcomes in Reanimation Surgery for Chronic Facial Paralysis: A Systematic Review Open
Background: Chronic facial paralysis can lead to significant functional and psychosocial impairment. Treatment often involves free muscle flap-based facial reanimation surgery. Although surgical techniques have advanced considerably over t…
View article: Younger Age as a Risk Factor for Gynecologic Cancer–related Lymphedema: A Systematic Review
Younger Age as a Risk Factor for Gynecologic Cancer–related Lymphedema: A Systematic Review Open
Younger age is a risk factor for gynecologic cancer-related lymphedema. However, as individual studies have not included all types of gynecologic cancers, results may not be generalizable.
View article: A Systematic Review of Peripheral Neuropathies in Breast Cancer–Related Lymphedema
A Systematic Review of Peripheral Neuropathies in Breast Cancer–Related Lymphedema Open
Controversy exists regarding the influence of breast cancer–related lymphedema (BCRL) in the development of peripheral neuropathies. Our aim was to evaluate the association of secondary lymphedema with peripheral neuropathies in patients w…
View article: Use of magnetic resonance imaging for evaluation of therapeutic response in breast cancer-related lymphedema: A systematic review
Use of magnetic resonance imaging for evaluation of therapeutic response in breast cancer-related lymphedema: A systematic review Open
Breast cancer treatment-related lymphedema (BCRL) is a common comorbidity in breast cancer survivors. Although magnetic resonance imaging (MRI) is widely used to evaluate therapeutic response of patients with various medical conditions, it…
View article: Disparities in Access to Autologous Breast Reconstruction
Disparities in Access to Autologous Breast Reconstruction Open
Background and objectives: This study aimed to determine if age, race, region, insurance, and comorbidities affect the type of breast reconstruction that patients receive. Materials and methods: This analysis used the Florida Inpatient Dis…
View article: National Comprehensive Analysis of Characteristics of Acral Lentiginous Melanoma
National Comprehensive Analysis of Characteristics of Acral Lentiginous Melanoma Open
Age, disease stage, ulceration, and mitotic count are independent factors associated with ALM. Knowledge of the disease characteristics may allow for better diagnosis and understanding of disease pathophysiology.