Spencer Nichols

Journal Article Plastic and reconstructive surgery · January 2024 BackgroundOutpatient plastic surgery at office-based surgery facilities (OBSFs) and ambulatory surgery centers (ASCs) has become increasingly prevalent over the past 30 years. Importantly, historical data are inconsistent regarding the safety outc ... Full text Cite

Open hand fractures: a prospective analysis of functional outcomes and risk factors for infection after initial management in the emergency department.

Journal Article European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · December 2023 PurposeOpen hand fractures are common orthopaedic injuries, historically managed with early debridement in the operating room. Recent studies suggest immediate operative treatment may not be necessary but have been limited by poor follow-up and la ... Full text Cite

Navigating the Ethical Landmines of ChatGPT: Implications of Intelligent Chatbots in Plastic Surgery Clinical Practice.

Journal Article Plast Reconstr Surg Glob Open · September 2023 ChatGPT is a cutting-edge language model developed by OpenAI with the potential to impact all facets of plastic surgery from research to clinical practice. New applications for ChatGPT are emerging at a rapid pace in both the scientific literature and popu ... Full text Link to item Cite

Healing Exposed Calvarial Hardware Using Negative-Pressure Wound Therapy and Vashe Wound Solution: Case Report.

Journal Article Advances in skin & wound care · July 2023 ObjectiveThe management of cranioplasty infections has historically been explantation followed by delayed reimplantation/reconstruction. This treatment algorithm necessitates surgery, tissue expansion, and prolonged disfigurement. In this report, ... Full text Cite

Hardware Salvage in the Lower Extremity after Flap Coverage: 10-Year Single Center Outcomes Analysis.

Journal Article Plastic and reconstructive surgery. Global open · July 2023 An unanswered question with open tibial fractures is whether the type of flap used affects hardware retention. Flap survival may not equate hardware retention or limb salvage. In this study, we performed a 10-year single institution review and analysis of ... Full text Cite

Tumor volume as a predictor of survival in advanced laryngeal cancer treated with total laryngectomy.

Journal Article Head Neck · June 2023 BACKGROUND: Recent literature shows that tumor volume (TV) in T3 laryngeal squamous cell carcinoma (LSCC) is associated with response to radiation therapy. The aim of this study was to evaluate the effect of TV on survival outcomes in patients undergoing t ... Full text Link to item Cite

Considerations for Surgical Treatment of Neurogenic Thoracic Outlet Syndrome: A Meta-Analysis of Patient-Reported Outcomes.

Journal Article The Journal of hand surgery · June 2023 PurposeIt remains unclear whether first rib resection (FRR), performed via a supraclavicular (SCFRR) or transaxillary (TAFRR) approach, is necessary for patients with neurogenic thoracic outlet syndrome (nTOS). In a systematic review and meta-anal ... Full text Cite

Ultrasound for Perforator Mapping and Flap Design in the Hand and Upper Extremity.

Journal Article The Journal of hand surgery · June 2023 Duplex ultrasound allows accurate preoperative flap planning through mapping of perforator location and anatomy. In the hand and upper extremity, where thickness of the subcutaneous fat is less compared with other areas of the body, color Doppler ultrasoun ... Full text Cite

Outcomes following use of VersaWrap nerve protector in treatment of patients with recurrent compressive neuropathies.

Journal Article Frontiers in surgery · January 2023 Epineural scarring following previous carpal or cubital tunnel release can lead to pain and permanent dysfunction. To prevent this cascade, nerve wraps are an option. The purpose of this study was to evaluate outcomes following use of VersaWrap nerve prote ... Full text Cite

Salvage of Nipple-Areolar Complex Ischemia With Dimethyl Sulfoxide: A Case Series.

Journal Article Annals of plastic surgery · January 2023 BackgroundNipple-areolar complex (NAC) necrosis is a known risk of breast surgery, particularly mastectomy. Disruption of the underlying blood supply to the NAC can lead to ischemia and subsequent necrosis. Nitroglycerin paste is currently used to ... Full text Cite

Advances in lower extremity peripheral nerve surgery

Journal Article Plastic and Aesthetic Research · January 1, 2023 Peripheral nerve injury (PNI) is a common source of pain and disability in patients. While many patients are affected by PNI, peripheral nerve surgery advancements in the lower extremity have lagged behind the upper extremity. Subsequently, principles that ... Full text Cite

Characteristics and Treatment of Patients Diagnosed With Paradoxical Adipose Hyperplasia After Cryolipolysis: A Case Series and Scoping Review.

Journal Article Aesthetic surgery journal · December 2022 BackgroundParadoxical adipose hyperplasia (PAH), a rare side effect of CoolSculpting (cryolipolysis), is characterized by fatty enlargement of the treatment area occurring months after the procedure.ObjectivesThe purpose of this study was ... Full text Cite

Outcomes After Minimally Invasive Sacroiliac Joint Fusion: A Scoping Review.

Journal Article World neurosurgery · December 2022 BackgroundSacroiliac joint (SIJ) dysfunction is a significant contributor to lower back pain. Although open surgical treatment for persistent pain has long been the standard, it is associated with significant surgical morbidity, high complication ... Full text Cite

Surgical Interventions for Lumbosacral Plexus Injuries: A Systematic Review.

Journal Article Plastic and reconstructive surgery. Global open · August 2022 BackgroundNerve reconstruction techniques for lumbosacral plexus (LSP) injuries vary. There are no clear treatment guidelines available, and summative evaluations of the literature discussing these surgeries are lacking. For these reasons, this in ... Full text Cite

Radial Nerve Fascicular Transfer Preserving Long Head through Anterior Incision for Transhumeral Targeted Muscle Reinnervation.

Journal Article Plastic and reconstructive surgery. Global open · August 2022 New developments in targeted muscle reinnervation promise better options for treatment of neuropathic pain and improved prosthetic control. For transhumeral amputations, the traditional approach involves an anterior incision to access the median and ulnar ... Full text Cite

Anatomy and Biomechanics of the Thumb Carpometacarpal Joint.

Journal Article Hand clinics · May 2022 This review discusses the anatomy and biomechanics of the thumb carpometacarpal (CMC) joint. This articulation between the trapezium and first metacarpal is integral for opposition and other complex movements necessary for pinch and grasp maneuvers. Fortun ... Full text Cite

Distal median and radial nerve branch transfer techniques for upper extremity reanimation

Journal Article Plastic and Aesthetic Research · 2022 Nerve transfers for peripheral nerve injuries have become increasingly popular over the past two decades. While techniques for ulnar nerve repair have been well-documented, more recent techniques for median and radial nerve branch reinnervation are ... Full text Cite

Contralateral Obturator to Femoral Nerve Branch Transfer for Multilevel Lumbosacral Plexus Avulsion Injury.

Journal Article Plastic and reconstructive surgery. Global open · December 2021 We report successful restoration of quadriceps function following contralateral obturator to lateral branch of the femoral nerve transfer (with intervening autograft) in two patients with multilevel lumbosacral root avulsions, resulting in severe unilatera ... Full text Cite

Pediatric upper extremity firearm injuries: an analysis of demographic factors and recurring mechanisms of injury.

Journal Article World journal of pediatrics : WJP · October 2021 BackgroundLittle is known regarding risk factors specific to pediatric upper extremity firearm injuries. The purpose of this study is to evaluate pediatric patients treated for these injuries to identify at-risk populations and recurring mechanism ... Full text Cite

Relationship of depth of invasion to survival outcomes and patterns of recurrence for T3 oral tongue squamous cell carcinoma.

Journal Article Oral oncology · May 2021 IntroductionCurrent research is elucidating how the addition of depth of invasion (DOI) to the 8th edition of the American Joint Committee on Cancer (AJCC) TNM staging for oral cavity squamous cell carcinoma influences its prognostic accuracy. How ... Full text Cite

HPV/p16-positive oropharyngeal cancer treated with transoral robotic surgery: The roles of margins, extra-nodal extension and adjuvant treatment.

Journal Article American journal of otolaryngology · January 2021 PurposeHuman papilloma virus (HPV)-associated oropharyngeal squamous cell carcinoma (OPSCC) treatment outcomes are re-defining management. Traditional margins, the role of extranodal extension (ENE) and adjuvant treatment intensity continue to be ... Full text Cite

Factors associated with the use of vertical rectus abdominus myocutaneous flap reconstruction following abdominoperineal resection for anorectal cancer.

Journal Article Journal of surgical oncology · October 2020 Background and objectivesFollowing abdominoperineal resection (APR), primary closure of the perineal defect is often possible. Some patients, however, require flap reconstruction. Identifying these patients preoperatively is critical to facilitate ... Full text Cite