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Record W4415477575 · doi:10.1097/gox.0000000000007166

The Mini–Wise Pattern Nipple-Share Technique for Enhanced Nipple Reconstruction

2025· article· en· W4415477575 on OpenAlexaff
Gabriel M. Kuper, Stephanie E. McCann, Esta S. Bovill

Bibliographic record

VenuePlastic & Reconstructive Surgery Global Open · 2025
Typearticle
Languageen
FieldMedicine
TopicBreast Implant and Reconstruction
Canadian institutionsUniversity of British Columbia
Fundersnot available
KeywordsProjection (relational algebra)Breast reconstructionComponent (thermodynamics)Iterative reconstructionMammaplasty

Abstract

fetched live from OpenAlex

Nipple-areola complex reconstruction is a critical component of postmastectomy breast reconstruction, with a significant impact on patient satisfaction. Traditional techniques, such as flap-based methods and nipple grafting, can be limited by suboptimal long-term nipple projection, the lack of natural pigmentation, and the presence of surrounding scars. This article describes the mini-Wise pattern nipple-share technique, a modified surgical approach designed to address these challenges. Particularly suited for skin-sparing and areola-sparing mastectomies, this technique preserves native pigmentation and, for areola sparing, eliminates the need for postreconstruction tattooing. It avoids full-thickness incisions in hostile recipient milieus, including radiated skin and prepectoral alloplastic reconstructions. "Discarding nothing that could be useful," the mini-Wise pattern nipple-share technique not only results in an aesthetically pleasing donor site, but also maximizes available tissue by borrowing from traditional 3-dimensional concepts to create a sustainable projection of both the donor and recipient.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.890
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0010.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.021
GPT teacher head0.291
Teacher spread0.270 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designOther design
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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