The aim of the study is to determine rates overall complications and failure prepectoral breast reconstruction between various types acellular dermal matrices (ADMs).Implant-based most common reconstructive technique after mastectomy in United States. Traditionally, has been performed subpectoral plane; however, there an emerging interest using ADM. Human (hADM), porcine (pADM), bovine (bADM) ADMs are available for use, but little known about benefits complication profiles each...

Background In March 2021, the United States Food and Drug Administration (FDA) safety communication cautioned against use of acellular dermal matrix (ADM) products in breast reconstruction reiterated that FDA does not approve ADM surgery. This study aims to assess reconstruction. Methods Women who underwent non-ADM assisted tissue expander (TE)-based were identified using National Surgical Quality Improvement Program database (2012-2019). Trends over time, 30-day outcomes surgical site...

Background The negative impact of opioid use in the U.S. has led providers to seek alternative methods for pain control. More specifically, preoperative usage been demonstrated adversely affect patients and clinical outcomes. This study aims assess extent relationship between on postoperative outcomes across surgical disciplines using statewide population databases.

Background: Prepectoral breast reconstruction has become popularized with the concurrent use of acellular dermal matrix (ADM). The authors sought to compare 3-month postoperative complication rates and explantation for first-stage, tissue-expander–based, prepectoral without ADM. Methods: A single-institution retrospective chart review was performed identify consecutive patients undergoing tissue-expander–based from August 2020 January 2022. Chi-square tests were used demographic categorical...

Cherubism is a rare, autosomal dominant condition characterized by the replacement of medullary bone fibro-osseous lesions, predominantly in bilateral maxillae and/or mandibles. The clinical presentation cherubism can vary widely, from clinically undetectable to severe facial disfigurement. Although there are no established management guidelines for this condition, conservative with observation typically favored most cases due possibility spontaneous regression following puberty. In article,...

Abstract Background Free tissue transfer is utilized as a reconstructive option for various anatomic defects. While it has long been performed in adults, surgeons have used free to lesser degree children. As such, there are few analyses of factors associated with complications within this population. The aim study assess readmission and reoperation pediatric flap patients utilizing the National Surgical Quality Improvement Program database. Methods Pediatric who underwent microvascular...

Absence of the proximal upper limb, whether congenital or acquired, has a profound impact on quality life. Targeted muscle reinnervation (TMR) was originally developed to improve functional control over myoelectric prostheses; however, it also been shown decrease phantom limb pain and neuroma as well prevent formation. In children, whose rates prosthetic use are considerably lower than adults, effects amputation function can be devastating. To date, there is very little literature regarding...

Background Racial disparities in plastic surgery limit health care accessibility and quality. The aim of this study is to determine if racial exist within patient-targeted advertising materials on academic practice (APSP) Web sites are more pronounced specific categories surgery. Methods Throughout May 2021, 3 independent reviewers analyzed the for APSPs identified all photos, videos, graphics with visible skin. For each image, Fitzpatrick skin tone scale was used classify as “White” (I–III)...

Summary: Tumescent solution utilizing dilute epinephrine and a local anesthetic agent injected into fat compartment has been shown to effectively minimize blood loss postoperative pain in liposuction. Ropivacaine longer duration of action compared lidocaine is potential analgesic tumescent solution. We sought explore the effect using ropivacaine technique with focus on its efficacy for control postoperatively. The formula used combined 1 mL 30 500 injectable saline. was manually donor sites...

To estimate the effects of obesity on all types upper extremity compression neuropathies (UECN) (carpal tunnel syndrome and other median nerve, radial ulnar nerve neuropathies) to assess whether bariatric surgery modifies these effects.UECN are increasingly prevalent decrease quality life affected individuals. Studies suggest as a risk factor for carpal syndrome, most common type UECN.A retrospective cohort study was conducted using PearlDiver Mariner Database, an all-payor claims database...

Background: Throughout history, plastic surgeons have advocated for the protection of specialty and better care their patients. Whether through efforts to support move legislation Congress or preventative advocacy in form lobbying against legislation, often used expertise political sphere shape patientcare. We hope inspire current future be politically active devise ways which can within legislative system Methods: The following manuscript highlights four historical examples surgeon led...

In the United States, top 1% and 5% of health care spenders account for 23% 50% total spending, respectively. These high have been coined term super utilizers (SU). The aim this study was to identify characteristics associated with these patients aid in developing public interventions aimed at transitioning out SU category thus ultimately helping control costs. authors utilized Utah All-Payer Claims Database Population from 2013 2015 demographics, comorbid conditions, utilization, cost...

Case: A 7-week-old girl presented with a recurrent primitive myxoid mesenchymal tumor of infancy requiring extensive resection lower back musculature, L3–S2 vertebral bodies, and left L5 nerve root. Reconstruction consisted transverse rectus abdominis muscle (TRAM) flow-through to free fibular flap reconstruct the bony defect fill soft-tissue void. One-year postoperative imaging revealed well-incorporated fibula graft. At 30-month follow-up, patient can bear weight on autograft while sitting...

Due to extended life expectancy and recent improvements in surgical techniques, limb salvage has replaced amputation as the gold standard is now performed 90-95% of upper extremity malignancies. However, many these procedures are associated with significant postsurgical complications. In particular, clavicula pro humero (CPH) procedure high rates nonunion. We present our experience using free vascularized fibular flap (VFF) after failure or nonunion original CPH pediatric population.Five...

Summary: Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare peripheral T-cell associated with textured implants and usually presents as late-onset periprosthetic seroma. We present 70-year-old woman history of left breast invasive ductal carcinoma treated mastectomy implant-based reconstruction, subsequent adjuvant chemotherapy due to lymphovascular extension. Eleven years following her the patient developed Fine needle aspiration partial capsulectomy were...

Prosthetic joint infection (PJI) is a challenging complication of knee arthroplasty, which can require amputation in severe cases. This study analyzes the utility flap reconstruction PJIs requiring hardware removal and extensive soft tissue debridement.This was retrospective analysis patients who were treated according to multistage extremity salvage protocol between 2018 2022. The involved at least 3 planned surgeries including (1) with antibiotic spacer placement debridement, (2) exchange...

INTRODUCTION: Upper extremity compression neuropathies(UECN) are increasingly prevalent and decrease the quality of life affected individuals. Studies suggest obesity as a risk factor for carpal tunnel syndrome, most common type UECN. METHODS: A retrospective cohort study was conducted using PearlDiver Mariner Database, an all-payor claims database containing over 53 million patients from 2010 to 2019 in all 50 US states. Rates odds types UECN were compared between 1:1:1 exact matched...

Abstract Background The coronavirus disease 2019 (COVID-19) global pandemic prompted an unprecedented contraction in surgical volume. This utilizes the American College of Surgeons' National Surgical Quality Improvement Program (NSQIP) database to assess impact COVID-19 on breast reconstruction surgery volume and quality throughout 2020. Methods NSQIP was utilized gather data from 2015 We provide descriptive statistics form mean (standard deviation), median (interquartile range), range for...