Advances can be applied to the treatment of other more civilian pathologies including the conduct of head and neck oncologic surgery facial plastic and reconstructive surgery and otologic surgery. During this phase of medical evolution in surgery and anesthesia fast surgeons were considered the best surgeons most of us understand that the word plastic surgery evolved in the 1930s to describe a specialty that dealt with restoring deformities as part of birth defects and trauma in war and peace. The prognostic stage reflects the advances that precision medicine and evidence based medicine have brought to breast cancer patients the patients breast cancer biology helps determine the personalized approach to their medical care. Jay l grosfeld james a oneill jr in pediatric surgery seventh edition 2012 clinical advances related to research although many clinical and research accomplishments have occurred in the united states many related ones have occurred in other parts of the world as more collaborations have developed
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