Journal ArticlePlastic and Reconstructive Surgery - Global Open · June 7, 2024
Background: Liposomal bupivacaine (LB) can be used for postsurgical analgesia after breast reconstruction. We examined real-world clinical and economic benefits of LB versus bupivacaine after deep inferior epigastric perforator (DIEP) flap breast reconstru ...
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Journal ArticleCleft Palate Craniofac J · December 2023
Surgical correction of craniosynostosis can involve significant blood loss. Rates of allogenic blood transfusion have been reported to approach 100%. Multiple interventions have been described to reduce blood loss and transfusion requirements. The aim of t ...
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Journal ArticleAesthet Surg J · October 13, 2023
BACKGROUND: Timing of surgical intervention is controversial among patients seeking correction of congenital breast deformities. OBJECTIVES: This study aimed to assess the influence of age on 30-day complications and unplanned healthcare utilization after ...
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Journal ArticleJ Craniofac Surg · January 2023
BACKGROUND: Forehead flaps are a workhorse for nasal reconstruction, but complications occur in up to 30% of patients and risk factors are not well characterized. This study aimed to identify risk factors for complications, and provide clinicians a method ...
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Journal ArticlePlast Reconstr Surg · January 1, 2023
BACKGROUND: Neurotization in breast reconstruction can be performed with the aid of nerve grafts and conduits to decrease the tedious dissection and overcome size mismatch. However, there has yet to be a formal analysis of this approach. The goal of this s ...
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Journal ArticlePhys Med Rehabil Clin N Am · November 2022
The decision on whom to offer surgical interventions for lymphedema requires collaboration and input from all involved specialists and should address patients' expectations, invasiveness of procedures, and disease severity. There is no consensus on what co ...
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Journal ArticleAnn Plast Surg · November 1, 2022
BACKGROUND: The field of face transplantation continues to evolve, with more complex defects being addressed, and, at the same time, increased outcome expectations. Given our unique long-term experience in this field, we consented one of the youngest patie ...
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Journal ArticleJ Immunother Cancer · August 2022
BACKGROUND: To evaluate factors affecting the utilization of immunotherapy and to stratify results based on the approval of ipilimumab in 2011 and programmed death-1 inhibitors in 2014, an analysis of available data from the National Cancer Database (NCDB) ...
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Journal ArticlePlast Reconstr Surg · May 1, 2022
LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Understand the indications for and prognostic value of sentinel lymph node biopsy in skin cancer. 2. Learn the advantages and disadvantages of various modalities used a ...
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Journal ArticleClin Plast Surg · October 2021
Malignant melanoma is the 5th most common cancer and stage IV melanoma accounts for approximately 4% of new melanoma diagnoses in the United States. The prognosis for regionally advanced disease is poor, but there have been numerous recent advances in the ...
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Journal ArticlePlast Reconstr Surg · July 1, 2021
BACKGROUND: Despite advances in melanoma management, there remains room for improvement in the accuracy of sentinel lymph node biopsy. The authors analyzed a prospective cohort of patients with primary cutaneous melanoma who underwent sentinel lymph node b ...
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Journal ArticleFace · June 1, 2021
The mainstay of curative therapy for head and neck skin cancers relies upon surgery and/or radiation therapy. However, for some aggressive, non-resectable or recurrent tumors, systemic therapy is necessary. Recent emerging classes of drugs have shown to im ...
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Journal ArticlePlast Reconstr Surg · March 1, 2021
LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. List important prognostic features that affect cutaneous squamous cell carcinoma risk. 2. Summarize the changes to the AJCC Cancer Staging Manual, Eighth Edition, stagi ...
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Chapter · January 1, 2021
The internal mammary artery and vein (IMA and IMV) are commonly utilized as recipient vessels for microsurgical breast reconstruction. While their identification and preparation has been previously described, surgical modifications and technical tips can a ...
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Chapter · January 1, 2021
Selection and dissection of recipient site vessels is critical for a successful free tissue transfer. This chapter describes the applied anatomy and various surgical approaches to exposing the deep inferior epigastric vessels for use as recipient in micros ...
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Journal ArticleInt Wound J · December 2020
Pathogenic, opportunistic, and commensal bacterial coexist in the intestinal tract, and imbalances among these strains have been linked to systemic inflammation and a variety of disease states. Similarly, human skin plays an important role as an interface ...
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Journal ArticleJ Plast Surg Hand Surg · December 2020
Despite the intense focus on the opioid epidemic and its known association with surgical procedures, there is a paucity of evidence-based literature on pain management in implant-based breast reconstruction (IBR). Herein, we present an updated review of th ...
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Journal ArticleOrthoplastic Surgery · December 1, 2020
Background: Infected wound reconstruction risks persistent infection and potential flap loss. Taking advantage of negative pressure wound therapy with instillation's ability to decrease bioburden, we introduce a novel paradigm “flap plus sub-flap irrigatio ...
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Journal ArticleAnn Plast Surg · November 2020
INTRODUCTION: As a high-volume referral center for facial transplantation, we have learned significantly from the screening, evaluation, and enrollment process. This report analyzes our algorithm for the assessment of potential face transplant candidates r ...
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Journal ArticlePlastic and Reconstructive Surgery - Global Open · October 28, 2020
Background: Enhanced recovery after surgery (ERAS) protocols utilize multi-modal approaches to decrease morbidity, narcotic usage, and length of stay. In 2013, we made several changes to our perioperative approach to children undergoing complex craniofacia ...
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Journal ArticleJ Reconstr Microsurg · September 2020
BACKGROUND: Pain management approaches in autologous breast reconstruction have become a topic of great interest in the era of enhanced recovery after surgery protocols, as well as the opioid epidemic. The management of postoperative pain is of critical i ...
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Journal ArticleSemin Oncol · August 2020
In this article, we report on recent advancements in reconstructive care of the breast cancer patient. New developments in sensate breast reconstruction to help address the problem of numbness after mastectomy have emerged and show promise. Methods to rest ...
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Journal ArticlePlast Reconstr Surg · August 2020
Plastic surgery patients span the nutritional spectrum from generally healthy, nutritionally competent patients to inherently catabolic, nutritionally deficient, and chronic wound patients. Therefore, plastic and reconstructive surgery affords the opportun ...
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Journal ArticlePlast Reconstr Surg · August 2020
The concept of sensate autologous breast reconstruction is not novel, and prior literature has focused mainly on sensate abdominally based breast reconstruction. The goal of this article is to present the authors' results with a novel technique performing ...
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Journal ArticleMelanoma Res · August 2020
To evaluate factors affecting the utilization of immunotherapy and to stratify results based on the approval of ipilimumab in 2011 and PD-1 inhibitors in 2014, an analysis of available data from the National Cancer Database (NCDB) was performed. Stage IV m ...
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Journal ArticleBurns · August 2020
INTRODUCTION: Burn patients represent a combination of nutritionally deplete and calorically demanding individuals who are susceptible to morbidity and mortality. A source of sepsis in thermal injury patients is the gastrointestinal tract with its interact ...
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Journal ArticleBreast J · July 2020
Plastic surgeons routinely encounter patients desiring correction of breast asymmetry, hypoplastic growth, or other aesthetic concerns. An appropriate recognition of congenital breast conditions is critical for plastic surgeons. Without consideration of un ...
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Journal ArticleBreast J · April 2020
BACKGROUND: Not all women undergo post-mastectomy breast reconstruction due to medical comorbidities or personal preference. An aesthetically pleasing closure and contour of the chest wall is still desired, though may be technically difficult to achieve in ...
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Journal ArticleAnn Plast Surg · March 2020
INTRODUCTION: Arnica and bromelain, two of the most widely recommended homeopathic medications to improve perioperative outcomes, have yet to be widely adopted by allopathic practitioners. A significant barrier to utilization of herbal medications by allop ...
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Journal ArticleBreast J · January 2020
Performing successful breast reconstruction after mastectomy requires communication and collaboration between the breast and reconstruction surgery teams. This allows for oncologic safety while providing esthetic and functional reconstruction. In this arti ...
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Journal ArticleExp Dermatol · January 2020
There is increasing evidence that the intestinal microbiome plays an important role in modulating systemic inflammation and disease. Oral probiotics can modulate the intestinal microbiome and have demonstrated to be efficacious in treating topical skin con ...
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Journal ArticleAnn Plast Surg · January 2020
BACKGROUND: The "July Effect" represents a topic of considerable interest across residency programs. This study investigated the frequency of postoperative complications following procedures with plastic surgery resident participation (all postgraduate yea ...
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Chapter · January 1, 2020
Head and neck melanomas are a surgical and medical challenge. Facial anatomy and its lymphatic drainage are complex and often unpredictable. To balance oncologic clearance with morbidity, surgeons must be familiar with the anatomy of the head and neck regi ...
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Journal ArticleBreast J · November 2019
Breast cancer is the most commonly diagnosed invasive cancer in women worldwide. While hypoesthesia is a known sequela after mastectomy, patients are now inquiring with renewed interest about the degree and timing of sensation after mastectomy. This is a t ...
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Journal ArticleJ Craniofac Surg · October 2019
INTRODUCTION: Chronic osteomyelitis is characterized by compromised blood supply and eventual osteonecrosis. Definitive treatment requires aggressive resection of affected bone. The resultant defect poses a unique challenge to reconstructive surgeons. Much ...
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Journal ArticleAnn Surg Oncol · October 2019
INTRODUCTION: The goal of this study was to analyze patients who underwent a sentinel lymph node biopsy (SLNB) in melanoma with the combination of radioisotope lymphoscintigraphy and indocyanine green (ICG) fluorescence imaging to compare our true positive ...
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Journal ArticleEuropean Journal of Plastic Surgery · August 1, 2019
Microsurgical breast reconstruction patients are at an increased risk for venous thromboembolism (VTE) due to numerous risk factors. A meta-analysis focusing on anti-thrombotics in breast microsurgery has yet to be completed. We aimed to perform a systemat ...
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Journal ArticlePlast Reconstr Surg · August 2019
BACKGROUND: Fat grafting is a powerful and increasingly used technique in breast reconstruction. However, fat necrosis can lead to palpable postoperative changes that can induce anxiety and lead to unplanned diagnostic studies. The authors' aim in this stu ...
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Journal ArticleJ Surg Oncol · August 2019
BACKGROUND: A lymphedema (LE) prevention surgery (LPS) paradigm for patients undergoing axillary lymphadenectomy (ALND) was developed to protect against LE through enhanced lymphatic visualization during axillary reverse mapping (ARM) and refinement in dec ...
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Journal ArticleMicrosurgery · March 2019
INTRODUCTION: There is a hesitancy to utilize vasopressors in microsurgical reconstruction due to fear of vessel spasm and subsequent flap compromise. Although there are large literature reviews analyzing vasopressor usage in head and neck reconstruction, ...
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Journal ArticleFuture Oncol · March 2019
The field of melanoma oncology is rapidly evolving with advances in detection, staging and treatment. There is heterogeneity in all stages of melanoma where some patients fare better than others for reasons currently unknown and it is sometimes unclear whi ...
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Journal ArticlePlast Reconstr Surg · February 2019
The sensory innervation to the breast originates from the medial and lateral cutaneous branches of the third to fifth intercostal nerves, which are at risk for injury or loss during mastectomy. Providing reinnervation after mastectomy was introduced almost ...
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Journal ArticleAnn Plast Surg · February 2019
The concept of providing neurotized autologous breast reconstruction is not novel, but the introduction of cadaveric nerve grafts has allowed for the development of new techniques and a resurgence in academic interest. There has been a surge in the number ...
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Journal ArticlePlastic and Reconstructive Surgery - Global Open · January 1, 2019
Background: Nonsteroidal anti-inflammatory drugs have been used as part of multimodal postoperative analgesic regimens to reduce the necessity of opioids. However, due to its effect on platelet function, there is a hesitation to utilize ketorolac postopera ...
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Journal ArticleJ Surg Res · December 2018
BACKGROUND: Merkel cell carcinoma (MCC) is a relatively rare skin cancer with high rates of regional lymph node involvement and metastatic spread. National Comprehensive Cancer Network guidelines recommend sentinel lymph node biopsy (SLNB) for staging purp ...
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Journal ArticleJ Hand Surg Eur Vol · December 2018
We studied anomalies of the common digital arteries by dissecting 33 fresh cadaver hands under magnification. In the majority of the dissected hands (25 hands), common digital arteries took off from the superficial palmar arch and ran superficial and paral ...
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Journal ArticleMicrosurgery · September 2018
BACKGROUND: Arteriovenous (AV) loops can be utilized in a single- or two-stage approach in free flap reconstruction when proper vessels are not available. However, there exists no consensus on which method leads to superior microsurgical and patient outcom ...
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Journal ArticleJ Surg Res · August 2018
BACKGROUND: Head and neck melanoma is associated with a high false negative (FN) sentinel lymph node biopsy (SLNB) rate. If techniques are developed that can decrease FN SLNBs, better prognostic information will be obtained, and it may be possible to impro ...
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Journal ArticlePlast Reconstr Surg · August 2018
LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Summarize the changes to the American Joint Committee on Cancer Eighth Edition Melanoma Staging System. 2. List advances in genetic, molecular, and histopathologic mela ...
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Journal ArticleJ Plast Reconstr Aesthet Surg · July 2018
OBJECTIVE: The objective of the current study is to elucidate the potential role of surgery in the treatment of nummular headache (NH). BACKGROUND: NH is a disorder in which pain is localized to a specific area. Treatment has traditionally been medical, wi ...
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Journal ArticlePlast Reconstr Surg · June 2018
Effective postsurgical analgesia is a critical aspect of patient recovery. The goal of this prospective, randomized, controlled, blinded study was to examine the effect that liposomal bupivacaine delivered by means of a transversus abdominis plane block ha ...
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Journal ArticlePlast Reconstr Surg · February 2018
BACKGROUND: Half of all cancers occur in women older than 65 years, yet only 4 to 14 percent of these women undergo reconstruction. Most studies on reconstruction in the elderly have focused on tissue expander/implant or autologous reconstruction. A direct ...
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Journal ArticleJ Craniofac Surg · January 2018
BACKGROUND: LeFort III osteotomies or monobloc advancements, with or without distraction, can be used to treat mid-facial hypoplasia causing exorbitism and obstructive sleep apnea in syndromic patients. This report is a meta-analysis of the complication ra ...
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Journal ArticleAnn Plast Surg · January 2018
INTRODUCTION: Despite the advances in cutaneous melanoma management, the false-negative rates (FNRs) of sentinel lymph node biopsy (SLNB) are still high. These rates are dependent not only on the technique but also on definitional terms and percentage of h ...
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Journal ArticleInt J Dermatol · October 2017
BACKGROUND: Aggressive digital papillary adenocarcinoma (ADPA) is a rare adenocarcinoma of the sweat glands. AIMS: We wish to report the treatment of two cases of ADPA with Mohs micrographic surgery and review the presentation, management, and prognosis of ...
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Journal ArticleTech Hand Up Extrem Surg · September 2017
Pyogenic flexor tenosynovitis treatment consists of either closed continuous irrigation with sterile saline or antibiotic solution, or open debridement and irrigation. These treatment approaches serve to resolve the infection, but are extremely painful and ...
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Journal ArticleJ Craniofac Surg · March 2017
INTRODUCTION: Large scalp soft tissue defects can present difficulties with reconstruction. The ideal flap for scalp reconstruction has yet to be described although the latissimus dorsi flap is frequently referred to as the first choice in this setting. PA ...
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Journal ArticleFam Med · May 2015
BACKGROUND AND OBJECTIVES: Obesity is a major public health concern because of its prevalence, serious health consequences, and costs. Many health care providers believe they have been inadequately trained to treat obesity and, as a result, often do not ad ...
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Journal ArticleCurr Microbiol · April 2015
Two-component systems are important regulatory systems that allow bacteria to adjust to environmental conditions, and in some bacteria are used in pathogenesis. We identified a novel two-component system in Burkholderia cenocepacia, an opportunistic pathog ...
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Journal ArticleCase Reports in Medicine · January 1, 2015
Background. Bilateral reduction mammoplasty is a common plastic surgery procedure that can be complicated by unfavorable scar formation along incision sites. Surgical adhesives can be utilized as an alternative or as an adjunct to conventional suture closu ...
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Journal ArticleDig Dis Sci · April 2014
BACKGROUND: In order for vitamin D to signal and regulate inflammatory pathways, it must bind to its receptor (VDR) which must heterodimerize with the retinoid X receptor alpha (RXRα). Although the role that vitamin D signaling plays in the development and ...
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Journal ArticleAnticancer Research · December 1, 2013
Background: Colon cancer is still the second leading cause of cancer deaths in the United States. Epigenetic gene silencing involving DNA methyltransferases (DNMTs) and histone deacetylases (HDACs) plays an important role in the progression of colon cancer ...
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Journal ArticleCancer Prev Res (Phila) · June 2013
The anti-inflammatory actions of vitamin D have long been recognized and its importance in modulating colon cancer and colitis development is becoming apparent. The vitamin D receptor (VDR) is downregulated in human ulcerative colitis and colitis-associate ...
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Journal ArticleAnticancer Agents Med Chem · December 2012
The development of colon cancer, the third most diagnosed cancer and third leading cause of cancer deaths in the United States, can be influenced by genetic predispositions and environmental exposures. As 80% of colon cancer cases are sporadic in nature, m ...
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