thePlasticsFella @PlasticsFella Twitter profile

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thePlasticsFella

1 month

👋 Meet the first official team at thePlasticsFella! It’s fantastic to have a team instead of going solo. Together, we’ll be bringing you tons of engaging content. Stay tuned! 🌟

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thePlasticsFella

@PlasticsFella

8 months

How the carpal bones got their names? 👇 Scaphoid skaphos (Greek) = a boat Lunate lunata (Latin) = moon Triquetrum triquetrus (Latin) = three-cornered Pisiform pison (Greek) = pea Trapezium trapezion (Greek) = little table Trapezoid trapezoides (Greek) = table shaped Capitate…

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thePlasticsFella

@PlasticsFella

8 months

A famous sign in hand surgery. Terry Thomas. What’s your diagnosis?

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thePlasticsFella

@PlasticsFella

1 year

Nasal Subunits 👃 Thanks to Menick's 1985 publication.

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thePlasticsFella

@PlasticsFella

4 years

@medicalaxioms I preferred triangles - I was a very simple minded first year. It made sure I didn’t forget to check the result of the job

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thePlasticsFella

@PlasticsFella

2 years

this. by @alexludai 🚂

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thePlasticsFella

@PlasticsFella

2 years

#ThreadThurdays Carpal Tunnel Release. a COMMON operation. here are 3 intra-op SURPRISES you should know about... ↓🧵

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thePlasticsFella

@PlasticsFella

3 years

😂😂😂 who did this

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thePlasticsFella

@PlasticsFella

4 years

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thePlasticsFella

@PlasticsFella

2 years

Lots of ways to reconstruct the lip 🤯

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thePlasticsFella

@PlasticsFella

4 years

burn size referral vs. calculated TBSA

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thePlasticsFella

@PlasticsFella

2 years

#TipTuesday Z-Plasty Can't figure out the new scar direction? Draw a line between A and B. That's the new direction.

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thePlasticsFella

@PlasticsFella

1 year

10 plastic surgery meetings in 2023 👇 ASRM Micro -24 Jan ASPS Spring -3 March Dallas Rhino Course -9 March Rhino Society Meeting -19 April AAPS 10th Meeting -29 April ICOPLAST Congress -5 May FESSH Annual -10 May ASSH Annual -5 Oct The Meeting -26 Oct BAPRAS Congress -29 Nov

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thePlasticsFella

@PlasticsFella

2 years

#TipTuesday It can be hard to distinguish between quadriga & lumbrical-plus. Both are related to TENSION. In quadriga, ↑ FDP TENSION leads to a weak grip. In Lumbrical-plus, ↑ lumbrical TENSION from a lax FDP causes a pointy finger.

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thePlasticsFella

@PlasticsFella

8 months

#FractureFriday How you fixing this? Closed injury, acute presentation Young tennis player

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thePlasticsFella

@PlasticsFella

3 years

@DGlaucomflecken Get the same fear ringing an Ophthalmologist! I don’t speak eye

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thePlasticsFella

@PlasticsFella

2 years

Justin Bieber's unfortunate diagnosis of Ramsay-Hunt does provide a good teaching opportunity for facial nerve paralysis. some screenshots (vvideo below)👇

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thePlasticsFella

@PlasticsFella

4 years

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thePlasticsFella

@PlasticsFella

3 years

“No, Plastics do not accept injuries to extensor tendons of the toe” ⓘ 𝗧𝗵𝗶𝘀 𝗰𝗹𝗮𝗶𝗺 𝗶𝘀 𝗱𝗶𝘀𝗽𝘂𝘁𝗲𝗱 𝗯𝘆 𝗢𝗿𝘁𝗵𝗼

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thePlasticsFella

@PlasticsFella

4 years

how it started: how its going:

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thePlasticsFella

@PlasticsFella

2 years

🧵 #ThreadThursdays Flexor Tendon Repairs There are 3 main descriptions of flexor tendon repairs in #plasticsurgery · Zone of injury (Kleinert & Verdan) · Technique: eponymous, strand, config · Suture: size, non/absorbable can get pretty confusing?? This thread might help 👇

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thePlasticsFella

@PlasticsFella

3 years

12 accounts teaching #PlasticSurgery 1. @PLASTAUK 🆓 2. @Canniesburn 🆓 3. @Pulvertafthands 🆓 4. @DrJamesKKChan 🆓 5. @JakeMarksMD 🎙 6. @JPRASOpen 📔 7. @drchrysopoulo 🕺🏼 8. @prsjournal 📔 9. @plasticstrainee 🆓 10. @jjanismd 🕺🏼 11. @DrRodRohrich 🕺🏼 12. @AbraShen 🕺🏼 (in no order) Anyone to add?

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thePlasticsFella

@PlasticsFella

2 years

I think more people would take up plastic surgery if they understood that it's more than just cosmetics.

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thePlasticsFella

@PlasticsFella

2 years

#MidweekMnemonic Tessier Classification. Lots of numbers, little remembering. This memory hook puts it into “Groups of 3” 0, 1, 2: Lip to nose 3, 4 ,5: Lip to lower eyelid 6, 7, 8: Treacher Collins Syndrome 9, 10, 11: Orbit to upper eyelid 12, 13, 14: Medial to orbit.

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thePlasticsFella

@PlasticsFella

1 year

3-day-old closed FDP. How do you fix this?

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thePlasticsFella

@PlasticsFella

4 years

@NEJM What did the 2nd kidney say to the 3rd kidney? “Urine Trouble”

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thePlasticsFella

@PlasticsFella

2 years

#MidweekMnemonic Mathes & Nahai classification... can ANYONE remember it? This might help ↓ "Get Good Remembering Supply Lines" · type 1: Gastrocmnemius · type 2: Gracilis · type 3: Rectus Abdominis · type 4: Sartorius · type 5: Latissumus dorsi

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thePlasticsFella

@PlasticsFella

3 years

6 #PlasticSurgery Podcasts to listen to: 1. Quick Cuts by @JakeMarksMD 2. @HandPodcast by @congenitalhand @ChrisDyMD 3. @PRSGlobalOpen by @DamianMarucci 4. Plastic Surgery Revision by @Ryan_L_K 5. @theloupepodcast 6. @JPRASurg Journal Club Any missing? #MedEd #MedTwitter

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thePlasticsFella

@PlasticsFella

3 years

Make #plasticsurgery revision a habit👇🏽 1. Study as little as 15 minutes daily 2. Work on something you saw that day or will be seeing the next day 3. Find a good Spotify playlist 4. Be consistent 5. Pick a specific topic, keep it concise #MedTwitter , what would you add list?

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thePlasticsFella

@PlasticsFella

1 year

Top 13 #PlasticSurgery journals based on H-index 1 @prsjournal 2 @ASJrnl 3 @PRSGlobalOpen 4 @JPRASurg 5 @aps_journal 6 @AnnalsPlastic 7 @JCSOnline1 8 Clinics in Plastics 9 Ophthalmic Plastics 10 JAMA Facial 11 Microsurgery 12 Cleft palate-craniofacial 13 Facial Plastics Clinics

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thePlasticsFella

@PlasticsFella

2 months

this a really bizarre thing to do

Hector O. Crespo Soto MD, FACS, RPVI

@HCrespoSotoMD

2 months

Dermal fenetration for primary difficult fasciotomy closures #cltied #pad

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thePlasticsFella

@PlasticsFella

2 years

a free flap

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thePlasticsFella

@PlasticsFella

2 years

🚽 1000+ questions, on 8 feet of toilet paper. A new way to improve your knowledge. Working on this for a long time. Quite proud of it. Free sample? just like this tweet. #medtwitter #plasticsurgery #MedEd

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thePlasticsFella

@PlasticsFella

1 year

Testing out mindmaps, thoughts?

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thePlasticsFella

@PlasticsFella

2 years

#MidweekMnemonic You need to "TAP" a Bennett's Fracture back into place. 1. Traction to lengthen the fracture 2. Abduction to palm 3. Pronation

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thePlasticsFella

@PlasticsFella

2 years

#MidweekMnemonic A classic. Prob one of the best created? Branches of the Facial Nerve = To Zanzibar By Motor Car.

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thePlasticsFella

@PlasticsFella

2 years

@yasminleighw I think the spin/snout mnemonic could be the best ever created SPIN: Specific & Positive, rule IN SNOUT: Sensitive & Negative, Rule OUT

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thePlasticsFella

@PlasticsFella

2 years

💋

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thePlasticsFella

@PlasticsFella

8 months

#FractureFriday How are you fixing this? Proximal phalanx, ring finger. Closed injury. Lateral X-ray minimally displaced

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thePlasticsFella

@PlasticsFella

2 years

#FactFridays The radial nerve innervates these muscles in the following order.... Brachioradialis ECRL Supinator ERCB EDC EDM APL EPL EPB EIP .... this can be used a rough guide to find the location of the radial nerve injury.

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thePlasticsFella

@PlasticsFella

2 years

#ThreadThursdays Brachial Plexus 😬 does anyone actually remember this? hopefully, this helps. no promises!

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thePlasticsFella

@PlasticsFella

2 years

“What zone is it?” It could be one of the most common questions asked in #plasticsurgery . But for some reason, it’s often too tricky to remember. Here are 4 points that might help you remember 👇

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thePlasticsFella

@PlasticsFella

2 years

bad technique. Should be long strokes, rotating the wrist, inserting into different planes of fat Poor patient selection too

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thePlasticsFella

@PlasticsFella

2 years

If you don’t have a phone full of dirty wounds and cut fingers, are you really a plastic surgeon? 🤷🏼‍♂️

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thePlasticsFella

@PlasticsFella

2 years

Here's a pretty interesting read 👇 The first rhinoplasty??? 🤷‍♀️ It was published in a journal now known as the NEJM in 1837

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thePlasticsFella

@PlasticsFella

2 years

#SurgerySaturdays 34 male, knife laceration. 60% division central slip. 100% division of one lateral band. What would you repair?

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thePlasticsFella

@PlasticsFella

2 years

#SurgerySaturdays Nailed injuries. The bread and butter of #plasticsurgery What is your repair technique?

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thePlasticsFella

@PlasticsFella

2 years

🔥 Burn Depth Assessment ~70% accuracy is the number quoted in #plasticsurgery literature for the accurate assessment of burn depth. It can be hard, especially when starting out. Here are some ways to help your assessment 🧵👇

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thePlasticsFella

@PlasticsFella

8 months

WALANT bros be like…

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thePlasticsFella

@PlasticsFella

8 months

Alberta Kapandji, was a smart guy. Something so simple & reproducible. Who else uses this scoring system?

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thePlasticsFella

@PlasticsFella

2 years

#FactFriday There are 7 levels to the neck lymph nodes, and nobody can remember them.

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thePlasticsFella

@PlasticsFella

8 months

Tinel started with just 6 patients in 1915. In French. Prob one of the most well-known clinical tests? Pretty incredible.

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thePlasticsFella

@PlasticsFella

2 years

#JournalClub Carpal tunnel Surgery... What's the BEST surgical technique? A COCHRANE review provides answers Here are a few key points 🧵↓

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thePlasticsFella

@PlasticsFella

3 years

I've been searching for a way to change traditional #plasticsurgery Q&A format when studying. I think people could really enjoy this new feature. It will need some tinkering, no doubt. If interested, you can request beta-testing/early access below.

Coach · Your Personal Virtual Study Assistant (NEW)

Request Early Access to this new way of revising practice questions in Plastic Surgery. A conversational database based on conditions, logic, and integrations to make sure you spend less time...

www.theplasticsfella.com

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thePlasticsFella

@PlasticsFella

8 months

The French loved their ulnar nerve 🇫🇷 Duchenne Sign 1867 🇫🇷 Froment Sign 1914 🇫🇷 Tinel’s Test 1915 🇫🇷 Jeanne Sign 1915 🇫🇷 Masse Sign 1916 🇫🇷 Pitres-Testut Sign 1925 🇫🇷 Earle-Vastou 1980 any eponyms missing from the list?

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thePlasticsFella

@PlasticsFella

2 years

#FactFriday #MedEd Quadriga Phenomenon It refers to the 4-horse Roman chariots. 1 driver, 1 common rein. If a rein to one horse is shortened then the other horses will experience a tethering effect. So why does it happen? 🧵👇

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thePlasticsFella

@PlasticsFella

2 years

Not all chemical burns are created equal. Some chemicals have specific secondary systemic effects.

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thePlasticsFella

@PlasticsFella

2 years

🎨 There's nothing better than a beautiful medical illustration. For example, @michie_wu fasciotomy incision seen below. Here are some of the other artists that you might learn from. 🧵👇

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thePlasticsFella

@PlasticsFella

3 years

#MayThe4thBeWithYou

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thePlasticsFella

@PlasticsFella

1 year

👋 just wondering, can you spot which congenital hand malformation is AI-generated?

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thePlasticsFella

@PlasticsFella

2 years

Regardless of how much time we allocate to a presentation… The day before, we'll be on PowerPoint till midnight.

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thePlasticsFella

@PlasticsFella

2 years

👋 nerds, Here is a BCC in the philtrum. How would you reconstruct?

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thePlasticsFella

@PlasticsFella

3 years

The PIPJ is a complex joint. It's best to visualize it as a "3-sided box" created by: · Collateral Ligaments · Volar Plate/Checkrein Ligaments · Joint Capsule If ≥2 sides are disrupted, dislocation can result. More: #plasticsurgery #MedEd #MedTwitter

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thePlasticsFella

@PlasticsFella

2 years

#ThreadThursdays 🧵 Radial Nerve Palsy 🤌 High vs Low vs Proximal vs Distal It can get pretty confusing. This thread should help ↓

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thePlasticsFella

@PlasticsFella

3 years

If you're starting out in #plasticsurgery and find it difficult to classify or describe a specific type of flap, this might help you. Read: #MedEd #MedTwitter

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thePlasticsFella

@PlasticsFella

3 years

🗞thePlasticsPaper is now out! It's impossible to stay updated in #plasticsurgery , so this weekly newsletter curates the best bits. Direct to your inbox. Great research from @MrAdamGilmour , @malkeasaad , P'Fella's speech at @HLA_int @MedicsAcademy Read:

🗞 Wanna hear P'Fella speak? (+8 other upcoming events)

Become more knowledgeable, every Sunday. thePlasticsPaper curates the highlights of the week into a digestible and enjoyable format.

www.theplasticsfella.com

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thePlasticsFella

@PlasticsFella

2 years

#MidweekMnemonic The eyelid is a bilammellar structure. Its anatomy is the “Rule of 2’s”: • 2 Eyelids: Upper and Lower • 2 Lamellae: Anterior and Posterior • 2 structures in each lamellae: Skin + Muscle, Tarsus + Conjunctiva.

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thePlasticsFella

@PlasticsFella

2 years

#TipTuesday A burn is unlikely to be one depth. It's best to describe them as "mixed thickness burns". One depth may be more obvious.

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thePlasticsFella

@PlasticsFella

2 years

#FactFriday #PlasticSurgery Branches of external carotid artery spell... FLO SPASM · F: facial · L: lingual · O: occipital · S: superior thyroid · P: posterior auricular · A: ascending pharyngeal · S: superficial temporal · M: maxillary

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thePlasticsFella

@PlasticsFella

2 years

#FactFriday There are 9 zones describing extensor tendon injuries.

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thePlasticsFella

@PlasticsFella

2 years

the research cycle 🔁

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thePlasticsFella

@PlasticsFella

8 months

The Ozempic Face Every Sunday, I write a letter in thePlasticsPaper. This week it's on a new facial appearance Derm Paul Jarrod Frank coined the term. Ozempic, initially for diabetes, is now a weight-loss fav. But it gives a characteristic face Have you come across it?

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thePlasticsFella

@PlasticsFella

3 years

I see a….. A. Pumpkin for Halloween B. Zone II FDS, FDP, Dig Nerve

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thePlasticsFella

@PlasticsFella

3 years

studying vs forgetting

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thePlasticsFella

@PlasticsFella

2 years

i like TNM staging...

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thePlasticsFella

@PlasticsFella

3 years

Webinars this week in #PlasticSurgery Monday · Thumb Recon @Pulvertafthands · Implant Recon @Canniesburn Tuesday · Upper Limb @DrJamesKKChan @PLASTAUK · Skin Substitutes @Dennis_Orgill @harvardmed Friday · Facial Palsy @TarekBanoby11 @plasticomar 👆 follow them for Links

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thePlasticsFella

@PlasticsFella

3 years

"Swan-neck vs Boutonniere's" is apparently searched >10K times per year, according to Google. We looked at 11 relevant publications in #plasticsurgery #OrthoTwitter to hopefully simplify it. Here is a brief overview:

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thePlasticsFella

@PlasticsFella

2 years

#FactFriday Quadriga refers to the 4-horse Roman chariots controlled by 1 driver through 1 common rein. If that rein becomes shortened to one horse then the other horses will experience a tethering effect.

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thePlasticsFella

@PlasticsFella

1 year

#Reconstruction Biopsy-proven infiltrative BCC. How would you reconstruct it?

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thePlasticsFella

@PlasticsFella

2 years

#SurgerySaturdays 👋 #plasticsurgery , 3cm gap in the ulnar nerve. 24-hours post glass injury. how do you repair the nerve?

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thePlasticsFella

@PlasticsFella

2 years

Tweetorial Tuesday - Neck Levels Can anybody actually remember them? they're a pain in the neck *dad joke* Here's a thread detailing the 7 zones. Hopefully, it overcomes those memory antibodies

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thePlasticsFella

@PlasticsFella

2 years

#TipTuesday If your patient needs multiple z-plastiee, use a parallel design. It allows the flap to transpose uniformly and avoids that mistake of a broad-tipped flap with a narrow base.

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thePlasticsFella

@PlasticsFella

2 years

rewriting notes is a complete waste of time. make flashcards, illustrations, test yourself. but don't rewrite what's already written.

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thePlasticsFella

@PlasticsFella

8 months

In 1968, Komatsu and Tamai performed the first successful finger replant. The patient was a smoker. It raises the question: why do people still consider smoking a negative predictor of replant surgery?

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thePlasticsFella

@PlasticsFella

1 year

She originally published this technique in 1994. Here's how she described the skin markings

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thePlasticsFella

@PlasticsFella

4 years

5 in 24hrs Neck Dissection @Canniesburn Spasticity @The_Pulvertaft LL Flap @Suh_Hyunsuk @BSafaMD Hand @BAPRASvoice @DeanBoyce6 H&N - FC Wei @DrJamesKKChan

Join the meeting in seconds - GoTo

Meet with anyone on any device. GoTo makes virtual meetings simple and secure, so you can always do your best work together, wherever.

global.gotomeeting.com

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thePlasticsFella

@PlasticsFella

1 year

how would you reconstruct this? a congenital melanocytic naevus extends into the philtrum and across the vermilion border onto mucosa. 😅

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thePlasticsFella

@PlasticsFella

2 years

|￣￣￣￣￣￣￣￣￣￣￣￣￣| @sci_hub_ is the best website! |____＿＿＿＿＿＿＿＿＿＿__| \ (•◡•) / \ / —— | | |_ |_

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thePlasticsFella

@PlasticsFella

3 years

🗞thePlasticsPaper is out! It's impossible to stay updated in #plasticsurgery , so this weekly paper curates the best bits. Direct to your inbox. P'Fella chats · Free #MedEd resources · @Surgery_Trials network · Events by @Canniesburn @RoySocMed Read:

3 Free resources to stay updated in Plastic Surgery

P'Fella reviews 3 free resources to help you stay up-to-date in Plastic Surgery. There is also the weekly review of a publication, clinical case. Oh, also the chance to work with P'Fella.

www.theplasticsfella.com

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thePlasticsFella

@PlasticsFella

2 years

Happy New Year #PlasticSurgery 🎈 Reflecting on P’Fellas 2021 • 110,000 mins on thePlasticsLibrary • 9000 monthly users • 1100 readers thePlasticsPaper • 600 MCQs for thePlasticsQuiz • 112 #MedEd topics • 30 graduating thePlasticsInterview • $0 profit … 2022 🚀

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thePlasticsFella

@PlasticsFella

3 years

🏆Award 1: “Best Group 2020”🏆 WINNER -🥇 @Canniesburn 31% votes in this category In a year of online education, #plasticsurgeon adopted the “Zoom” @PLASTAUK , @Pulvertafthands , @ICOPLASTsurgery @AcademicBucks were all winners, as they successfully adjusted to the new landscape.

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thePlasticsFella

@PlasticsFella

4 months

👋 Hey I'm on the lookout for someone passionate about plastic surgery education to join me. It's important to be paid for your work, and now the thePlasticsFella can finally do that. The Educational Fellow will create engaging content, develop their own skills/knowledge and…

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thePlasticsFella

@PlasticsFella

3 years

🎈 thePlasticsFella 3.0 is 1 month old. What’s happened in last 30 days? • 6604 mins of teaching • 4520 active users • 630 thePlasticsPaper readers • 91 countries • 8 new author requests Still a small platform. Always amazed by the support. Excited for next 30 days 🚀

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thePlasticsFella

@PlasticsFella

2 years

more exams should just become "open book" to reflect the of current working environment. good doctors don't have everything memorised. instead, they are resourceful & know how to find information quickly and accurately.

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thePlasticsFella

@PlasticsFella

2 years

#FactFriday There are 3 commonly used techniques to primarily close lower eyelid defects.

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thePlasticsFella

@PlasticsFella

4 years

Happy #PlasticSurgery Halloween!

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thePlasticsFella

@PlasticsFella

2 years

bloody eye

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thePlasticsFella

@PlasticsFella

2 years

pick a fracture and tell us how you wound treat it...

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thePlasticsFella

@PlasticsFella

2 years

#ThreadThursdays To celebrate 420 yesterday, P'Fella smoked his favourite joint 🚬 ... the PIPJ. Here are 4 parts of PIPJ anatomy that often cause confusion ↓

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thePlasticsFella

@PlasticsFella

2 years

Lichtenberg Figures from Lightning ⚡️

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