- Reconstructive Surgery and Microvascular Techniques
- Reconstructive Facial Surgery Techniques
- Surgical site infection prevention
- Sarcoma Diagnosis and Treatment
- Bone fractures and treatments
- Cleft Lip and Palate Research
- Facial Trauma and Fracture Management
- Wound Healing and Treatments
- Dental Implant Techniques and Outcomes
- Tracheal and airway disorders
- Head and Neck Surgical Oncology
- Craniofacial Disorders and Treatments
- Head and Neck Cancer Studies
- Surgical Sutures and Adhesives
- Anatomy and Medical Technology
- Oral and Maxillofacial Pathology
- Facial Nerve Paralysis Treatment and Research
- Congenital Anomalies and Fetal Surgery
- Breastfeeding Practices and Influences
- Nerve Injury and Rehabilitation
- Hemostasis and retained surgical items
- Cardiac tumors and thrombi
- Management of metastatic bone disease
- Vascular Malformations and Hemangiomas
- Hip and Femur Fractures
Memorial Sloan Kettering Cancer Center
2020-2025
Creative Commons
2022-2023
Brigham and Women's Hospital
2023
King Edward Medical University
2023
Mayo Hospital
2023
Cornell University
2017-2022
Lurie Children's Hospital
2017-2022
Northwestern University
2017-2022
American College of Surgeons
2022
Center For Reconstructive Urethral Surgery
2021
In 1990, Bostwick presented a technique wherein excess skin in the ptotic breast provides deepithelialized inferiorly based dermal flap at time of mastectomy. This adjoins inferior border pectoralis major muscle, creating complete autologous vascularized pocket, which is then covered by Wise pattern flaps.One hundred seventy breasts were reconstructed 110 patients. Indications, outcomes, risk factors, and complications recorded. The association between factors was statistically...
Lower lip malposition can occur after anterior mandibular resection as a result of the loss soft tissue attachments. We report our technique cranial suspension lower with fascia lata slings to improve position. Correction ptosis results in cessation drooling, improved oral intake, and restoration facial aesthetics. Laryngoscope, 2025 None authors have financial interest any products, devices, or drugs mentioned this manuscript.
Summary Mandibular reconstruction in pediatric patients has some unique considerations. The method of to factor the growth potential neo-mandible, native mandible, and donor site. condyle is considered main center mandible. Current literature indicates that fibula, iliac crest, scapula osseous flaps do not have ability grow. Costochondral grafts exhibit because costal cartilage component, although unpredictable. Preservation mandibular periosteum can result spontaneous bone regeneration....
We evaluate the safety and efficacy of transcaruncular approach for reconstruction medial orbital wall fractures combined transcaruncular-transconjunctival large defects involving floor. A retrospective review clinical radiographic data patients who underwent either a or by single surgeon between June 2007 2013 was undertaken. Seven with isolated approach, nine floor lateral canthotomy. Reconstruction performed using porous polyethylene implant. All presented enophthalmos. In group, five out...
Abstract Background A comprehensive understanding of changes in health-related quality life after head and neck cancer surgery is necessary for effective preoperative counseling. The goal this study was to perform a longitudinal analysis postoperative outcomes fibula free flap (FFF) mandible reconstruction. Methods retrospective review performed all patients who underwent oncologic reconstruction with an FFF between 2000 2021. Completion at least one FACE-Q questionnaire inclusion. scores...
The 3 most common problems after a parotidectomy are cheek contour deformity, Frey syndrome (gustatory sweating), and visible scar on the neck. These can potentially be prevented by (1) facelift type incisions, which eliminate neck incision (2) interposition of temporoparietal fascia at site that fills defect provides barrier to aberrant neuronal regeneration. We followed 11 patients who underwent (9 superficial 2 total parotidectomies) for variety parotid tumors between December 2001...
Chondrosarcomas are the most common primary chest wall malignancy. The mainstay of treatment is radical resection, which often requires reconstruction. This presents numerous challenges and more extensive defects mandate use microvascular free flaps. Selecting appropriate flap important to outcome surgery.A 71-year-old male presented with a large chondrocarcoma wall. planned resection excluded ipsilateral contralateral pectoralis major because size reach limitations. latissimus dorsi was...
Electrical injuries of the scalp are a frequent occurrence in developing countries. Burns can be contact or conductive and result extensive tissue damage. The authors present their experience with treatment calvarial electrical propose management algorithm.This was retrospective cohort study comprising all patients treated at authors' center between January 2010 December 2016. Noncontrast computed tomography scans were obtained to assess viability calvarium who presented more than 2 weeks...
Abstract OBJECTIVES The aim of this study was to compare postoperative outcomes between biologic and synthetic reconstructions after chest wall resection in a matched cohort. METHODS All patients who underwent reconstruction full-thickness from 2000 2022 were reviewed stratified by prosthesis type (biologic or synthetic). Biologic prostheses origin fully absorbable incorporable. Integer matching performed reduce confounding. end point surgical site complications requiring reoperation....
Background: Femoral diaphyseal reconstructions with metal prostheses have mediocre results because of high mechanical forces that result in eventual implant failure. Biological alternatives require prolonged restrictions on weight-bearing and rates infection, nonunion, fracture. A novel method utilizing a vascularized fibula combination an intercalary prosthesis was developed to complement the immediate stability long-term biological fixation fibular graft. Methods: prospectively maintained...
The differential diagnosis of a congenital cutaneous vascular-appearing mass in newborn is broad and includes both benign malignant tumors. We report the case who presented with an erythematous exophytic skin nodule on right upper leg. Excision was performed due to ulceration, concern for bleeding, diagnosis. Pathology revealed be infantile myofibroma. This highlights importance considering mass. While history, physical exam, imaging can help diagnose some cases, biopsy or excision often...
Central MessageThe biosandwich technique is an effective, rigid, adaptable, and completely biocompatible reconstructive option for extensive defects in high-risk patients or complex settings. The An ideal reconstruction chest wall would restore the integrity physiology of while achieving patient-tailored cosmetic (ie, biomimesis).1Rocco G. Chest resection according to principles biomimesis.Semin Thorac Cardiovasc Surg. 2011; 23: 307-313Abstract Full Text PDF PubMed Scopus (33) Google Scholar...
Abstract Background Limb salvage has better functional outcomes than amputation in the upper extremity. This can however be challenging after bony tumor resections. Methods is a retrospective case series of patients who underwent humerus, ulna, or radius reconstruction with fibula free flap. Data were collected on demographics, oncologic history, surgical details, and complications. Functional outcome measures included patient's ability to perform activities daily living (ADL), presence...
Abstract Introduction Limb salvage has become the standard of care for lower extremity tumors because improvements in adjuvant treatments and reconstructive techniques. While there is literature assessing pediatric free flap reconstruction setting trauma, a paucity that analyzes oncologic this patient population. We report our long‐term experience evolution patients. Methods This retrospective case series all patients ≤18 years age who underwent soft‐tissue microvascular extremity, from 1992...
Prior studies have shown an increased risk of complications and flap loss with the use vein grafts in microsurgery. We hypothesize that indication for a graft can affect rates.
Anterior mandible defects result in loss of support for the tongue, floor mouth and lower lip, resulting impairment airway, feeding, speech. We treated four patients with these "Andy Gump" deformities. Reconstruction was performed two free flaps: a fibula osteocutaneous flap anterior mouth, soft tissue chin, neck. The lip suspended cranially fascia or tendon grafts ± mini-temporalis turndown flaps. All flaps survived completely. were tube feed-dependent before surgery; they all resumed an...