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Medical photography has become essential to patient care, trainee education, and research in highly visual specialties such as plastic surgery. As smartphone technology advances, plastic surgeons and trainees are using their personal smartphones to take medical photographs prompting ethical and legal concerns about patient consent and privacy. This study aims to determine the prevalence of personal smartphone use for patient photography among plastic surgery trainees, evaluate encryption practices, and establish understanding of current guidelines. Through a survey of 71 plastic surgery trainees throughout the United States, we show that 99% use their personal cell phone to take medical photographs while only 65% use HIPAA-compliant photo storage applications, and only 49% are aware of standard guidelines. This highlights that personal smartphone use among plastic surgery trainees is ubiquitous and there is a need for additional education and access to HIPAA-compliant photo storage applications.
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http://dx.doi.org/10.1177/00031348221091943 | DOI Listing |
Plast Reconstr Surg
August 2025
Professor of Surgery, Section of Plastic Surgery, Department of Surgery, Michigan Medicine, Ann Arbor, MI.
The use of pragmatic clinical trials has been increasing within medical and surgical research departments but has not yet been widely implemented in plastic surgery. Pragmatic clinical trials (PCTs) are similar to randomized controlled trials (RCTs) in that they both randomize patients to treatments and follow them prospectively after treatment. However, pragmatic trials are less strict than RCTs in many ways: PCTs have fewer inclusion and exclusion criteria to facilitate the recruitment of representative samples, PCTs collect data during routine clinical care, and they commonly rely on subjective patient-reported outcomes.
View Article and Find Full Text PDFPLoS One
September 2025
Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan.
In adult mammals and other highly developed animals, incomplete wound healing, scar formation, and fibrosis occur. No treatment for complete tissue regeneration is currently available. However, in mice, at up to 13 days of gestation, early embryonic wounds regenerate without visible scarring.
View Article and Find Full Text PDFJ Craniofac Surg
September 2025
Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Facial feminization surgery (FFS) reshapes masculine facial attributes to align with feminine norms, yet normative anthropometric data for Asian populations remain sparse. We therefore quantified sex-related 3-dimensional (3D) facial metrics in healthy Asian adults to delineate dimorphic benchmarks for surgical planning. We prospectively recruited 40 healthy Asian adults (20 males, 20 females; age 18 to 45 years, mean 28.
View Article and Find Full Text PDFCraniosynostosis (CS), the premature fusion of 1 or more cranial sutures, can present with coexisting deformation plagiocephaly or brachiocephaly. While surgical correction is the standard for CS, the management of cases with concurrent positional head shape deformities remains undefined. This study aims to describe clinical outcomes in this subset of patients and evaluate the role of adjunct orthotic therapy in their management.
View Article and Find Full Text PDFUnilateral cleft lip repair methods have evolved from straight-line repairs to geometric procedures, rotation-advancement, and contemporary hybrid techniques. The Fisher anatomical subunit repair is a versatile, effective, and highly reproducible technique. It utilizes mathematical precision in design, avoids multi-point closure, minimizes scar burden, and does not compromise horizontal lip length for vertical height in various deformities.
View Article and Find Full Text PDF