Gregory R. D. Evans
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View article: Generation Z in Plastic Surgery: Challenges, Solutions and New Horizons – A European and transatlantic overview
Generation Z in Plastic Surgery: Challenges, Solutions and New Horizons – A European and transatlantic overview Open
Introduction The entrance of Generation Z (born 1997–2012) into professional life, including the practice of medicine, marks a transformational shift in priorities and values. This generation, shaped by digital immersion and a strong focus…
View article: Control versus Choice in Deciding Career Pathway in Plastic Surgery: The Perfect Ratio
Control versus Choice in Deciding Career Pathway in Plastic Surgery: The Perfect Ratio Open
Background: The decisions and components of a career in medicine have changed. Historically, a career selection was often a decision between joining an institution or academic center versus the fiscal risks associated with private practice…
View article: SP24. Micro/nanobubble-assisted Lipotransfer: In-vivo Evidence Of Improved Graft Outcomes
SP24. Micro/nanobubble-assisted Lipotransfer: In-vivo Evidence Of Improved Graft Outcomes Open
Background: Despite the vast popularity of lipotransfer in modern plastic surgery, retention rates remain variable. The underlying cause of this variability is associated with tissue oxygenation and blood supply barriers.1 One promising ne…
View article: Therapeutic Consistency of ADSC Secretomes for Wound Healing, Scar Modulation, and Autoimmune Disease
Therapeutic Consistency of ADSC Secretomes for Wound Healing, Scar Modulation, and Autoimmune Disease Open
INTRODUCTION: Adipose-derived stem cell (ADSC) secretomes have been demonstrated to have potential therapeutic applications in various conditions, including wound healing, tissue repair, and autoimmune diseases. The ADSC secretome includes…
View article: Financial Models for an Academic Practice in Plastic Surgery
Financial Models for an Academic Practice in Plastic Surgery Open
Background: In an attempt to investigate physician compensation in academic practice, financial reimbursement models of departments and/or divisions of plastic surgery within an academic university setting were evaluated. Method: Thirteen …
View article: Deconstructing Allograft Adipose and Fascia Matrix: Fascia Matrix Improves Angiogenesis, Volume Retention, and Adipogenesis in a Rodent Model
Deconstructing Allograft Adipose and Fascia Matrix: Fascia Matrix Improves Angiogenesis, Volume Retention, and Adipogenesis in a Rodent Model Open
Background: Autologous fat grafting is commonly used for soft-tissue repair (approximately 90,000 cases per year in the United States), but outcomes are limited by volume loss (20% to 80%) over time. Human allograft adipose matrix (AAM) st…
View article: Biomechanical Characterization of Human Normal Auricular and Microtia Cartilage
Biomechanical Characterization of Human Normal Auricular and Microtia Cartilage Open
PURPOSE: Advances in microtia reconstruction, including ear scaffolding and prosthesis, have a high failure rate due to the avascular nature of cartilage, loss of structure, and immunogenic reaction to foreign material.1 Improvements in bi…
View article: Preservation of Extracellular Matrix in Decellularized Human Auricular Cartilage for Recellularization
Preservation of Extracellular Matrix in Decellularized Human Auricular Cartilage for Recellularization Open
PURPOSE: Bioengineering advances have been made in the field of auricular reconstruction, but many challenges still exist due to the lack of compatible biomaterials, the unique characteristics of cartilage, and its avascular nature. Decell…
View article: Excisional lipectomy versus liposuction in HIV-associated lipodystrophy
Excisional lipectomy versus liposuction in HIV-associated lipodystrophy Open
Background Human immunodeficiency virus (HIV)-associated lipodystrophy is a known consequence of long-term highly active antiretroviral therapy (HAART). However, a significant number of patients on HAART therapy were left with the stigmata…
View article: Operating Room Stencil: A Novel Mobile Application for Surgical Planning
Operating Room Stencil: A Novel Mobile Application for Surgical Planning Open
Summary: The techniques used to make preoperative markings before soft tissue reconstruction have remained relatively unchanged since the earliest years of plastic surgery. Using skin-marking pens, many surgeons continue to draw markings f…
View article: 5. Trends in Gender Representation at National Academic Plastic Surgery Conferences: A Picture of Progress
5. Trends in Gender Representation at National Academic Plastic Surgery Conferences: A Picture of Progress Open
Body: Background: Although there has been an increase in the number of women pursuing plastic surgical training, women continue to be underrepresented in academic plastic surgery. The objective of the present study was to characterize the …
View article: Ten-Year experience with vertical rectus abdominis myocutaneous flap for reconstruction of abdominoperineal resection defects
Ten-Year experience with vertical rectus abdominis myocutaneous flap for reconstruction of abdominoperineal resection defects Open
While our cohort represents a relatively small single-center study, our 14.3% rate of major perineal wound complications is consistent with previous studies in the literature. Our findings show that perioperative pelvic closed suction drai…
View article: Impact of Immediate Surgical Reconstruction Following Wide Local Excision of Malignant Head and Neck Melanoma
Impact of Immediate Surgical Reconstruction Following Wide Local Excision of Malignant Head and Neck Melanoma Open
Background: The role of surgical reconstruction following melanoma extirpation is well recognized. Although technical considerations depend on patient anatomy and surgeon preference, the optimal timing of reconstruction remains unclear. Th…
View article: Stem cells and tissue engineering in plastic surgery: an update
Stem cells and tissue engineering in plastic surgery: an update Open
Stem cells and tissue engineering have made great strides in plastic surgery. This review of the literature evaluates some current background information and recent advances in our laboratory to bring these areas more into the clinical set…
View article: A Novel Application of Digital Microscope for Microsurgery Training
A Novel Application of Digital Microscope for Microsurgery Training Open
Background Time spent under the microscope is often a limiting factor as plastic surgery residents work toward proficiency in microsurgery. This study describes and assesses a novel application of a digital microscope compatible with smart…
View article: Understanding the Mechanism of In Vitro Chondrogenesis Using a Coculture System for Generating a Tissue-engineered Cartilage Construct
Understanding the Mechanism of In Vitro Chondrogenesis Using a Coculture System for Generating a Tissue-engineered Cartilage Construct Open
INTRODUCTION: Microtia is a congenital condition that results in external ear deformities of varying degrees, of which the most extreme form is anotia. The current surgical reconstruction techniques all require a multi-stage approach and h…
View article: Micro/Nanobubbles: A Novel Modality for Burn Oxygenation and Healing
Micro/Nanobubbles: A Novel Modality for Burn Oxygenation and Healing Open
INTRODUCTION: Oxygen is one of the most important elements in all stages of wound healing. It is involved in killing bacteria during the inflammatory phase, increasing keratinocyte differentiation and re-epithelization during the prolifera…
View article: Impact of Immediate Surgical Reconstruction Following Wide Local Excision of Malignant Melanoma
Impact of Immediate Surgical Reconstruction Following Wide Local Excision of Malignant Melanoma Open
PURPOSE: The role of surgical reconstruction following melanoma extirpation is well recognized. Although technical considerations, such as reconstruction modality, are largely dependent on individual anatomy and surgeon preference, the opt…
View article: Predictors of Hand Function Following Digit Replantation: Quantitative Review and Meta-Analysis
Predictors of Hand Function Following Digit Replantation: Quantitative Review and Meta-Analysis Open
Background: Digit replantation affords the opportunity to restore hand function following amputation. To date, however, few studies have evaluated functional outcomes following replantation. Therefore, it was the objective of this study to…
View article: Abstract: Micro/Nanobubbles: A Novel Oxygenation Technology for Cellular and Organ Transplantation
Abstract: Micro/Nanobubbles: A Novel Oxygenation Technology for Cellular and Organ Transplantation Open
PURPOSE: The survival and preservation of transplanted tissue (kidney, heart, fat grafts) are directly tied to and limited by ischemia time. A new innovation, micro/nanobubbles (MNBs), are miniature gaseous voids that allow for oxygenation…
View article: Abstract: Mobile Applicaition for Flap Design & Projection
Abstract: Mobile Applicaition for Flap Design & Projection Open
PURPOSE: Markings for planning incisions in reconstructive surgery are commonly drawn free-hand and to the surgeon’s best estimate, leading to potential mistakes that can lead to increased procedure time and patient risk. A previous study …
View article: Topical oxygen therapy & micro/nanobubbles: a new modality for tissue oxygen delivery
Topical oxygen therapy & micro/nanobubbles: a new modality for tissue oxygen delivery Open
Up to 15 billion dollars of US health care expenditure each year is consumed by treatment of poorly healing wounds whose etiologies are often associated with aberrancies in tissue oxygenation. To address this issue, several modes of tissue…
View article: Management Modalities and Outcomes Following Acute Scaphoid Fractures in Children: A Quantitative Review and Meta-Analysis
Management Modalities and Outcomes Following Acute Scaphoid Fractures in Children: A Quantitative Review and Meta-Analysis Open
Background: Early evaluation and appropriate management of pediatric scaphoid fractures are necessary to avoid complications. To date, current management of pediatric fractures varies among providers. The objective of this study was to com…
View article: Burnout in the Plastic Surgeon: Implications and Interventions
Burnout in the Plastic Surgeon: Implications and Interventions Open
A career as a plastic surgeon is both rewarding and challenging. The road to becoming a surgeon is a long arduous endeavor and can bring significant challenges not only to the surgeon but their family. A study by the American College of Su…