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Choosing the Best Design in Surgical Research.
Florczynski, Matthew M. MD, MS; Chung, Kevin C. MD, MS
doi : 10.1097/PRS.0000000000010173
Volume 151(6) pgs. 1115-1348,899e-1058e June 2023
A Randomized Study Comparing Closed-Incision Negative-Pressure Wound Therapy with Standard Care in Immediate Breast Reconstruction.
Pieszko, Karolina MD, PhD 1,3,4; Pieszko, Konrad MD, PhD 2; Wichtowski, Mateusz MD, PhD 5; Ciesla, Slawomir MD, PhD 1; Lawnicka, Agnieszka MD 1; Jamont, Robert MD 3; Boyd, J. Brian MD 4; Murawa, Dawid MD, PhD 1,5
doi : 10.1097/PRS.0000000000010110
Breast cancer remains the most common nonskin cancer among women. Prophylactic methods for reducing surgical-site complications after immediate breast reconstruction (IBR) are crucial to prevent acellular dermal matrices or prosthesis exposure and loss.
Discussion: A Randomized Study Comparing Closed-Incision Negative-Pressure Wound Therapy with Standard Care in Immediate Breast Reconstruction.
Mascaro Pankova, Andres MD; Montorfano, Lisandro MD
Direct-to-Implant, Prepectoral Breast Reconstruction: Geometric Breast Measurements and Changes at 2-Year Follow-Up.
Safran, Tyler MD, MSc 1; Abi-Rafeh, Jad MSc 2; Viezel-Mathieu, Alex MD, MSc 1; Vorstenbosch, Joshua MD, PhD 1; Dionisopoulos, Tassos MD 3
doi : 10.1097/PRS.0000000000010095
Prepectoral breast reconstruction has recently experienced a resurgence in popularity. However, in direct-to-implant (DTI) reconstruction, there is no opportunity for capsular modifications before final implant insertion.
Direct-to-Implant versus Immediate Free Flap Reconstruction after Nipple-Sparing Mastectomy: A Propensity Score-Matched Analysis.
Abdou, Salma A. MD 1; Sharif-Askary, Banafsheh MD 1; Perez-Alvarez, Idanis BA 2; Lavin, Christopher V. BA 2; Bartholomew, Alex J. MD, MS 3; Sosin, Michael MD 4; Tousimis, Eleni MD 5; Fan, Kenneth L. MD 1; Song, David H. MD, MBA 1
doi : 10.1097/PRS.0000000000010094
Both direct-to-implant (DTI) and immediate free flap (FF) breast reconstruction following nipple-sparing mastectomy (NSM) have been described in the literature.
Analysis of Perfusion in the DIEP Flap: Role of the Location of the Perforator, Umbilicus, and Midline Crossing-Over Vessel.
Min, Kyunghyun MD 1; Oh, So Min MD 2; Kim, Eun Key MD, PhD 2; Eom, Jin Sup MD, PhD 2; Han, Hyun Ho MD, PhD 2
doi : 10.1097/PRS.0000000000010126
During breast reconstruction, predicting contralateral perfusion of the deep inferior epigastric artery perforator flap can help minimize tissue necrosis.
Outpatient Prosthetic-Based Reconstruction during COVID-19 Pandemic Possible in Selected Patients without Increased Complications.
Manstein, Samuel M. MD; Laikhter, Elizabeth BA; Boustany, Ashley N. MD; Shiah, Eric BA; Comer, Carly D. MD; Bustos, Valeria P. MD; Singhal, Dhruv MD; Fukudome, Eugene Y. MD; Cauley, Ryan P. MD; Morris, Donald J. MD; Lee, Bernard T. MD, MBA; Lin, Samuel J. MD, MBA
doi : 10.1097/PRS.0000000000010127
Following the reopening of elective surgery, the authors' division transitioned from inpatient admission to same-day discharge for immediate prosthetic breast reconstruction in an effort to decrease the hospital's clinical burden and minimize potential coronavirus disease of 2019 exposure.
Lateral Thoracic Vessel as a Recipient Vessel in Immediate Breast Reconstruction after Nipple/Skin-Sparing Mastectomy: Experience with 270 Flaps.
Muto, Mayu MD 1; Satake, Toshihiko MD 2; Tsunoda, Yui MD 1; Koike, Tomoyuki MD 1; Narui, Kazutaka MD 3; Ishikawa, Takashi MD 4; Maegawa, Jiro MD 5
doi : 10.1097/PRS.0000000000010128
The selection of recipient vessels for free-flap breast reconstruction is important for the success of the surgery and the aesthetics of the breast mound.
HoloLens in Breast Reconstruction: What Is the Future?.
Masterton, Gary MBChB, MPharm 1; Miller, Robert BSc, MRCS 1; Patel, Jaymin FRCR, BSc(Hons) 2; Pratt, Philip PhD, BSc 3; Gosling, Nicholas 4; Saour, Samer MBBCH, FRCS(Plast) 1
doi : 10.1097/PRS.0000000000010158
Autologous breast reconstruction using the deep inferior epigastric perforator flap has been established as the standard for perforator-based free-flap breast reconstruction.
Tracking Complications and Unplanned Healthcare Utilization in Aesthetic Surgery: An Analysis of 214,504 Patients Using the TOPS Database.
Sergesketter, Amanda R. MD 1; Shammas, Ronnie L. MD 1; Geng, Yisong MD, PhD, MBA 2; Levinson, Howard MD 1; Matros, Evan MD 3; Phillips, Brett T. MD, MBA 1
doi : 10.1097/PRS.0000000000010148
Tracking surgical complications and unplanned healthcare utilization is essential to inform quality initiatives in aesthetic surgery. This study used the Tracking Operations and Outcomes for Plastic Surgeons database to characterize rates and predictors of surgical complications and unplanned healthcare utilization across common aesthetic surgery procedures.
Superiorly Based Short-Scar Mastopexy Augmentation: A 10-Year Review of 1217 Consecutive Cases.
Wall, Simeon H. Jr., MD; Claiborne, Jeffrey R. MD; Wall, Holly Casey MD
doi : 10.1097/PRS.0000000000010129
Mastopexy augmentation is a challenging procedure, and a technique to create desirable, consistent, predictable results with a low rate of problems has not been well standardized. The inherent difficulty lies in competing surgical maneuvers.
Zygomatico-Orbital Artery: A Reevaluation of the Temporal Blood Vessels.
Chen, Chun-Lin PhD; Zhou, Yu-Hao MD; Luo, Cheng-En BSc; Wang, Hai-Bin MD, PhD; Luo, Sheng-Kang MD, PhD
doi : 10.1097/PRS.0000000000010112
The current anatomical description of the zygomatico-orbital artery (ZOA) is mainly based on cadaver head studies and does not accurately reflect the complete anatomical information of the ZOA.
Discussion: Zygomatico-Orbital Artery: A Reevaluation of the Temporal Blood Vessels.
Cotofana, Sebastian MD, PhD, PhD 1; Ziebart, Rachel BSN, RN 1; Chaney, Grace K. 1; Alfertshofer, Michael G. 2; Frank, Konstantin MD 2; Freytag, Lysander MD 3; Moellhoff, Nicholas MD 2
Rejuvenation of the Lower Eyelid and Midface with Deep Nasolabial Fat Lift in East Asians.
Lee, Tae-Yul MD, MSc 1; Cha, Ji-Hwan MD 1; Ko, Han-Woong MD, PhD 2
doi : 10.1097/PRS.0000000000010130
Correcting infraorbital hollowness is an important procedure for midface rejuvenation. Sub-orbicularis oculi fat lift is a commonly used method.
Analysis of Body Contouring and Sustained Weight Loss in a Diverse, Urban Population: A 7-Year Retrospective Review.
Greige, Nicolas MD, MSc; Kamel, George N. MD; Leibl, Kayla MD; Jacobson, Joshua MD; Garfein, Evan S. MD; Weichman, Katie E. MD; Benacquista, Teresa MD
doi : 10.1097/PRS.0000000000010097
Studies demonstrating the positive impact of body contouring on sustained weight loss in bariatric patients describe a narrow cohort. The authors sought to evaluate the impact of postbariatric body contouring procedures on sustained weight loss in minority race patients.
The Key to a Straight Nose Is a Straight Septum: 10 Essential Steps.
Jalalabadi, Faryan MD 1; Bellamy, Justin L. MD 2; Rohrich, Rod J. MD 2,3
doi : 10.1097/PRS.0000000000010098
The deviated nose derives from underlying skeletal and soft-tissue deformities in the upper, middle, and/or lower third of the nose. Although deviation may stem from several intrinsic and extrinsic elements, the septum is most often the primary contributor.
Midcheek Lift by Dissecting through the Facial Soft Tissue Spaces.
Wong, Chin-Ho MMed(Surg), FAMS(PlastSurg) 1; Hsieh, Michael Ku Hung MRCS(Ed), MMed(Surg) 2; Mendelson, Bryan FRCS(Ed), FRACS, FACS 3
doi : 10.1097/PRS.0000000000010161
The midcheek lift is one of the most effective procedures to rejuvenate the aging midface. However, it is a technically demanding procedure with the risk of complications, such as scleral show and ectropion. In 2015, the authors published their midcheek lift technique and outcomes.
Prophylactic Application of Human Adipose Tissue-Derived Products to Prevent Radiation Disorders.
Sowa, Yoshihiro MD, PhD 1; Inafuku, Naoki MD 2; Kishida, Tsunao PhD 3; Mori, Masanori MD 1; Mazda, Osam MD, PhD 3; Yoshimura, Kotaro MD 1
doi : 10.1097/PRS.0000000000010132
Radiation therapy is a mainstay treatment for malignancies, but it can induce deterministic adverse effects in surrounding healthy tissues, including atrophy, fibrosis, ischemia, and impaired wound healing.
Discussion: Prophylactic Application of Human Adipose Tissue-Derived Products to Prevent Radiation Disorders.
Panayi, Adriana C. MD; Orgill, Dennis P. MD, PhD
Reciprocal Donor-Recipient Strain Combinations Present Different Vascularized Composite Allotransplantation Outcomes in Rodent Models.
Cheng, Hui-Yun PhD 1; Lin, Chih-Fan BS 1; Anggelia, Madonna Rica PhD 1,2; Lai, Ping-Chin MD, PhD 3; Shih, Ling-Yi BS 2; Liu, Shiao-Chin BS 2; Wei, Fu-Chan MD 1,2; Lin, Cheng-Hung MD 1,2,4
doi : 10.1097/PRS.0000000000010099
Although vascularized composite allotransplantation (VCA) has been the focus of many animal studies, further research is needed to determine the potential for a generalized model and immunosuppression regimen that applies across different donor-recipient combinations
Intramuscular Nanofat Injection Promotes Inflammation-Induced Gastrocnemius Regeneration in a Syngeneic Rat Sciatic Nerve Injury Model.
Schilling, Benjamin K. PhD 1; Baker, Jocelyn S. BS 1; Komatsu, Chiaki MD 2; Turer, David M. MD 2; Bengur, Fuat Baris MD 2; Nerone, W. Vincent BA 2; Qin, Feng MD 2; Cottrill, Adam R. BS 2; Kokai, Lauren E. PhD 1,2,3; Rubin, J. Peter MD 1,2,3; Marra, Kacey G. PhD 1,2,3
doi : 10.1097/PRS.0000000000010115
Mechanical emulsification of adipose tissue to concentrate protein and stromal cell components (ie, nanofat) has gained considerable interest in clinical practice.
Comparison of the Effects of Skin Microneedling with Cupping Therapy and Microneedling Alone: An Experimental Study.
Pasinlioglu, Burak MD 1; Cenetoglu, Ibrahim Seyhan MD 2; Karasu, Oguzhan MD 2; Ozkocer, Suheyla Esra MD 3; Elmas, Cigdem PhD 3
doi : 10.1097/PRS.0000000000010134
Microneedling promotes percutaneous collagen induction; cupping therapy creates negative pressure and leads to increased blood flow in the applied area.
Discussion: Comparison of the Effects of Skin Microneedling with Cupping Therapy and Microneedling Alone: An Experimental Study.
Oranges, Carlo M. MD, PhD; Viscardi, Juan A. MD; Eseme, Ebai A. MD; Kalbermatten, Daniel F. MD, PhD
Micronized Cellular Adipose Matrix Promotes the Therapeutic Effect of an Artificial Nerve Conduit in Peripheral Nerve Gap Injury.
Sawai, Seiji MD 1; Sowa, Yoshihiro MD, PhD 2; Kishida, Tsunao PhD 3; Inokawa, Hitoshi PhD 4,5; Inafuku, Naoki MD 2; Tsuchida, Shinji MD, PhD 1; Oda, Ryo MD, PhD 1; Fujiwara, Hiroyoshi MD, PhD 6; Mazda, Osam MD, PhD 4; Yoshimura, Kotaro MD, PhD 7; Takahashi, Kenji MD, PhD 1
doi : 10.1097/PRS.0000000000010136
Stromal vascular fraction (SVF) isolated from adipose tissue has been shown to be beneficial for treating peripheral nerve injuries. Micronized cellular adipose matrix (MCAM) is an SVF-rich micronized fat tissue obtained by a series of simple mechanical processes.
Targeting the Glycolytic Enzyme PGK1 to Inhibit the Warburg Effect: A New Strategy for Keloid Therapy.
Wang, Pu MD; Wang, Qifei MD; Yang, Xin MD; An, Yang MD; Wang, Jingyi MMed; Nie, Fangfei MD; Pan, Bailin MD; Bi, Hongsen MD; Qin, Zelian MD
doi : 10.1097/PRS.0000000000010137
Aerobic glycolysis (the Warburg effect) may play an important role in keloid pathogenesis, which may be aggravated by the hypoxic microenvironment in keloids.
Compound Muscle Action Potential Amplitude as a Predictor of Functional and Patient-Reported Outcomes in Ulnar Neuropathy at the Elbow.
Florczynski, Matthew M. MD, MS 1; Kong, Lingxuan MS 2; Burns, Patricia B. MPH 1; Wang, Lu PhD 2; Chung, Kevin C. MD, MS 1
doi : 10.1097/PRS.0000000000010163
Ulnar neuropathy at the elbow (UNE) is a debilitating upper extremity condition that often leaves patients with residual symptoms even after surgical treatment. The role of electrodiagnostic studies in guiding the treatment of UNE is not well established, and conventional electrodiagnostic parameters may not reflect the severity of disease.
A Systematic Review of Vascularized and Nonvascularized Toe Transfer for Reconstruction of Congenital Hand Differences.
Meyers, Abigail BS; Bassiri Gharb, Bahar MD, PhD; Rampazzo, Antonio MD, PhD
doi : 10.1097/PRS.0000000000010116
The aim of this study was to compare the indications, techniques, and outcomes of vascularized and nonvascularized toe-to-hand transfer surgery in patients with congenital hand differences.
Turnover Tendon Lengthening Does Not Alter Biomechanical Strength of Pronator Teres-to-Extensor Carpi Radialis Brevis Tendon Transfer.
Weber, Erin L. MD, PhD 1,2; Schmidt, Elaine C. MS 3; Steinberger, Zvi MD 1,4; Dardas, Agnes Z. MD, MSc 1; Hast, Michael W. PhD 1,3; Levin, L. Scott MD 1
doi : 10.1097/PRS.0000000000010100
The pronator teres (PT) to extensor carpi radialis brevis (ECRB) tendon transfer reestablishes wrist extension. Occasionally, the PT periosteal extension is of suboptimal quality to support a strong transfer.
Facial and Cranial Symmetry after One-Piece Fronto-Orbital Advancement with Distraction for Isolated Unilateral Coronal Synostosis.
Park, Hojin MD, PhD 1; Min, Jaechung MD 2; Choi, Jong Woo MD, PhD, MMM 2; Ra, Young Shin MD, PhD 3
doi : 10.1097/PRS.0000000000010164
The surgical correction of unilateral coronal synostosis (UCS) aims to achieve longstanding facial and cranial symmetry. The authors hypothesized that endocranial morphology correction achieved by one-piece fronto-orbital advancement with distraction osteogenesis (FODO) could alleviate facial asymmetry because endocranial morphology is thought to be its major determinant.
A Two-Flap Combination for Auricular Elevation in Microtia Reconstruction.
Quang, Ly Xuan MD, PhD 1,2; Linh, Tran Ngoc Tuong MD, MS 2; Ha, Van Thi Hai MD, MS 2; Quyen, Le Van Vinh MD, MS 2; Ngoc, Tran Le Hong MD, MS 3; Dung, Nguyen Tan MD, PhD 4,5; Nga, Nguyen Thi Thuy MS 6; Chen, Yen-Chun MD 7; Hung, Shih-Han MD, PhD 8,9,10; Dang, Luong Huu MD, PhD 1
doi : 10.1097/PRS.0000000000010101
The aims of this study were to describe and evaluate the effectiveness of combined flaps, a modification of the Nagata technique, for providing a reasonable projection for reconstructed auricles.
Facial Expansion: A Blueprint for Coverage.
Cohen, Joshua M. MD; Zide, Barry M. MD, DMD
doi : 10.1097/PRS.0000000000010117
The benefits of tissue expansion go unrealized if flap design and coverage concepts do not exist in preoperative thinking. Without proper analysis, the surgeon will likely burden the patient with more expanders than necessary.
Free Functional Platysma Transfer for Restoration of Spontaneous Eye Closure in Facial Paralysis.
Leckenby, Jonathan I. MBBS, PhD 1,2; Patel, Alap U. BA 1; Patel, Swapnil MD 3; Rahman, Akm A. MD 3; Haque, Shameem MD 4; Grobbelaar, Adriaan O. MBChB, MMed 2,5
doi : 10.1097/PRS.0000000000010102
Facial palsy patients experience an array of problems ranging from functional to psychological issues. With regard to the eye, lacrimation, lagophthalmos, and the inability to spontaneously blink are the main symptoms and, if left untreated, can compromise the cornea and vision.
Outcomes, Concepts, Technical Refinements, and Challenges in the Microvascular Repair of Full-Thickness Nasal Defects.
Menick, Frederick J. MD; Salibian, Arthur MD
doi : 10.1097/PRS.0000000000010141
Repair of full-thickness nasal defects may require distant tissue, when local or regional donors are inadequate or unavailable. The authors' microvascular designs, technical details, and complications using a radial forearm flap to restore nasal lining have been described in past publications.
Body Contouring Surgery Improves Long-Term Satisfaction with Appearance and Health-Related Quality of Life after Bariatric Surgery.
Poulsen, Lotte MD, PhD 1,2,3; Rae, Charlene MSc 4; Simonsen, Nina MD 1,2; Klassen, Anne F. DPhil 4; Lorenzen, Mike MD 1,2; Rose, Michael MD, PhD 5; Juhl, Claus B. MD, PhD 2,6,7,8; Stoving, Rene Klinkby MD, PhD 9,10,11,12; Cano, Stefan J. PhD 13; Andries, Alin MD, PhD 14; Pusic, Andrea L. MD, PhD 15; Sorensen, Jens Ahm MD, PhD 1,2
doi : 10.1097/PRS.0000000000010165
Patient-reported outcomes are crucial in bariatric surgery (BaS) and body contouring surgery (BC) because patients' goals include improvement in appearance and health-related quality of life (HR-QOL).
Accessory Lymphatic Drainage Pathways on Indocyanine Green Lymphography in Patients with Breast Cancer-Related Lymphedema.
Kim, Leslie N. MD; Mehrara, Babak MD; Dayan, Joseph MD; McGrath, Leslie NP; Coriddi, Michelle MD
doi : 10.1097/PRS.0000000000010118
Current predictive models of lymphedema risk cannot predict with 100% certainty which patients will go on to develop lymphedema and which will not. Patient-specific anatomic and physiologic differences may be the missing factor.
Simultaneous Scalp, Skull, Kidney, and Pancreas Transplant from a Single Donor: Insights from a 5-Year Follow-Up.
Jozaghi, Yelda MD 1,2; Chang, Edward I. MD 2,3; Clemens, Mark W. MD, MBA 2,3; Hanasono, Matthew M. MD 2,3; Klebuc, Michael MD 2,3; Yu, Peirong MD 2,3; Gaber, A. Osama MD 2,3; Selber, Jesse C. MD, MPH, MHCM 2,3
doi : 10.1097/PRS.0000000000010103
This report provides a 5-year follow-up on the first reported simultaneous scalp, calvarium, kidney, and pancreas transplant. The previously published case report represented both the first composite calvarial-scalp transplant and combination of a vascularized composite allotransplantation with double organ transplantation.
Discussion: Simultaneous Scalp, Skull, Kidney, and Pancreas Transplant from a Single Donor: Insights from a 5-Year Follow-Up.
Chaya, Bachar F. MD; Trilles, Jorge BS; Rodriguez, Eduardo D. MD, DDS
A Safe and Efficient Technique for Pedicled TRAM Flap Breast Reconstruction.
Semple, John L. MD; Viezel-Mathieu, Alex MD; Alshaqsi, Sultan MD; Armstrong, Kathleen MD
doi : 10.1097/PRS.0000000000010174
After studying this article, the participant should be able to: 1. Understand the indications for a unilateral pedicled transverse rectus abdominis (TRAM) flap-based breast reconstruction.
Fertility and Childbearing Outcomes of Practicing Female Plastic Surgeons.
Hemal, Kshipra MD 1; Chen, Wendy MD, MS 2; Bourne, Debra A. MD 3
doi : 10.1097/PRS.0000000000010119
Women now represent approximately one-third of plastic surgery residents. The impact of a career in plastic surgery on family planning is unknown.
Impact of the COVID-19 Pandemic on Manuscript Submission by Women to Plastic and Reconstructive Surgery.
Blum, Jessica D. MSc 1; Rohrich, Rod J. MD 2; Taylor, Jesse A. MD 1
doi : 10.1097/PRS.0000000000010179
The coronavirus disease of 2019 (COVID-19) pandemic has had far-reaching consequences, occasionally amplifying preexisting disparities.
Gender and Ethnic Diversity in Plastic Surgery: Temporal Trends among Speakers at National and Regional Plastic Surgery Conferences.
Landford, Wilmina MD 1; Marquez, Jocellie MD, MBA 2; Ngaage, Ledibabari Mildred MA(Cantab), MB, BChir 1; Rathi, Sourish BE 2; Stewart, Talia MD, MHS 3; Hill, John BS 2; Huston, Tara MD 2; Broderick, Kristen MD 1; Aliu, Oluseyi MD 1
doi : 10.1097/PRS.0000000000010120
Scientific leadership among women and underrepresented minorities is lacking in plastic surgery. It is unknown whether the underrepresentation of women and ethnic minorities extends into academic conferences.
TikTok: Is It Time to Start Trending with #PlasticSurgery?.
Long, Emily A. MD; Shiah, Eric MD; Lin, Samuel J. MD, MBA
doi : 10.1097/PRS.0000000000010121
TikTok is a short-form video social media platform created in 2016 that has rapidly grown in popularity. The aim of this study was to examine trending plastic surgery videos on TikTok and to understand the dynamics of the #PlasticSurgery conversation on this relatively new social media platform.
Botulinum Toxin for Neck Rejuvenation: Assessing Efficacy and Redefining Patient Selection: Correction.
The Face- and Neck-Lift Objective Photo-Numerical Assessment Scale: A Complete Scale for Face-Lift Evaluation: Correction.
Preoperative Peroneal Artery Perforator Mapping Using Indocyanine Green Angiography: A Prospective Clinical Trial.
Miyamoto, Shimpei MD; Fujisawa, Kou MD; Okazaki, Mutsumi MD
Reply: Preoperative Peroneal Artery Perforator Mapping Using Indocyanine Green Angiography: A Prospective Clinical Trial.
Fichter, Andreas M. MD, DMD, PhD; Wolff, Klaus-Dietrich MD, DMD, PhD; Ritschl, Lucas M. MD, DMD, PhD
Plastic Surgeons Are Underrepresented When Searching Hospital Websites for a Hand Surgeon.
Awad, Shadi K. BA; Cowen, Jeb BS; Patel, Jason BS; Aluri, Akshay K. BS, MPH; Ananthasekar, Shivani MD; Singh, Nikhi P. BS; Boyd, Carter J. MD, MBA; King, Timothy W. MD, PhD, MSBE
And Then There Was One: 2021 to 2022 COVID-19 Single Away Rotation Policy's Impact on the Geography of the Integrated Plastic Surgery Match.
Asadourian, Paul A. MD, MEng; Murphy, Alexander I. MD; Diaddigo, Sarah E. BS; LaValley, Myles N. BS; Marano, Andrew A. MD; Rohde, Christine H. MD, MPH; Wu, June K. MD
