A5020098707- Reconstructive Surgery and Microvascular Techniques
- Diversity and Career in Medicine
- Mesenchymal stem cell research
- Global Health and Surgery
- Medicine and Dermatology Studies History
- Bone fractures and treatments
- Craniofacial Disorders and Treatments
- Cleft Lip and Palate Research
- Breast Implant and Reconstruction
- Meningioma and schwannoma management
- Body Contouring and Surgery
- Neurofibromatosis and Schwannoma Cases
- Orthopedic Surgery and Rehabilitation
- COVID-19 and healthcare impacts
- Congenital Anomalies and Fetal Surgery
- Musculoskeletal Disorders and Rehabilitation
- Body Image and Dysmorphia Studies
- Cancer Cells and Metastasis
- Glioma Diagnosis and Treatment
- Wound Healing and Treatments
- Frailty in Older Adults
- Lymphatic System and Diseases
- Acute Ischemic Stroke Management
- Cervical and Thoracic Myelopathy
- Brain Metastases and Treatment
Cornell University
2024-2025
American Society of Plastic Surgeons
2025
Texas Health Dallas
2024
Penn Presbyterian Medical Center
2024
Presbyterian Hospital
2024
New York Medical College
2021-2024
Weill Cornell Medicine
2024
Background Loss of breast sensation after mastectomy and reconstruction is associated with decreased psychosocial outcomes quality-of-life, spurring applications peripheral nerve repair to autologous reconstruction. While direct coaptation the gold standard for neurotization, development allografts has increased candidacy neurotization. Herein, we investigate long-term sensory BREAST-Q in patients receiving deep inferior epigastric perforator (DIEP) flap neurotized by allograft. Methods...
Purpose This study explores the impact of chemotherapy and radiation therapy (XRT) on breast sensation in patients undergoing mastectomy with immediate reconstruction. Methods prospective study, conducted from 2019 to 2024, focused implant-based or neurotized deep inferior epigastric perforator (DIEP) flap Neurosensory testing was performed preoperatively at defined postoperative intervals using a pressure-specified sensory device. Patients were stratified by type reconstruction oncologic...
Introduction Breast reduction has the potential to alter sensation of breast and nipple-areolar complex (NAC) due intraoperative sensory nerve disruption. There is currently a paucity available literature pertaining changes following reduction, results are inconclusive variability findings. This study aims assess superior superomedial Wise pattern as well any impact on patient satisfaction. Methods Sensation was tested using AcroVal pressure-specified device in nine regions breast: outer...
Background Impaired breast sensation can be a devastating consequence of mastectomy and reconstruction with significant impacts on quality life. Few studies have examined the relationship between objective sensory results patient-reported outcomes. Herein, we cutaneous different anatomic regions BREAST-Q scores in patients autologous alloplastic reconstruction. Methods Patients postmastectomy completed underwent testing pressure-specified device. responses measurements were paired; any...
Background The deep inferior epigastric perforator (DIEP) flap can be reliably neurotized for autologous breast reconstruction. In standard fashion, a sensory branch of intercostal nerve T11 or T12 the DIEP is coapted to anterior cutaneous T3 at recipient site. this study, we compare objective sensation recovery and patient-reported sensation, flaps innervated by versus T12. Methods Patients undergoing reconstruction after mastectomy were prospectively identified. All coaptation was...
Introduction: Most studies on the treatment of cleft lip and palate (CLP) in low-income middle-income countries have reported experience urban centers or surgical mission trips to rural locations. There is a paucity literature local teams providing orofacial surgery Sub-Saharan Africa. This study reports efficacy cost-effectiveness performed by an all-local team Kenya. Methods: A retrospective chart review was all patients who received CLP repair at Kapsowar Hospital between 2011 2023....
• Intracranial hemorrhage accounts for two out of every three major intracranial hemorrhages. Systemic anticoagulation is routinely prescribed prevention cerebrovascular accidents. The FDA approved Andexanet alfa to treat life-threatening bleeding. relationship outcomes requires further investigation.
Introduction Autologous fat grafting is a method of improving aesthetic outcomes after both breast reconstruction and surgery through volume enhancement tissue contouring. Long-lasting effects are linked to greater patient satisfaction more optimal augmentation results. Harvesting, processing, injection techniques may all affect the longevity deformity filling. Our objective evaluate effect lipoaspirate processing modality on longitudinal retention surgery. Methods A prospective,...
BACKGROUND: The impact of baseline frailty status versus that chronological age on surgical outcomes metastatic brain tumor patients remains largely unknown. present study aimed to evaluate this relationship for preoperative risk stratification using a large national database.METHODS: National Surgical Quality Improvement Program database was queried extract data who underwent surgery between 2015 and 2019 (n=5,943). Univariate multivariate analyses were performed assess the effect modified...
Multinodular and vacuolating neuronal tumor (MVNT) is a rare benign brain lesion, commonly found in middle-aged adults. The patients experience range of symptoms from being asymptomatic to epileptic seizures, with headache the most common symptom. Here we report case an incidental diagnosis MVNT young female. A 25-year-old female past medical history occasional headaches without seizures or any focal neurological deficit presented after motor vehicle rollover. MRI revealed finding...
Introduction Autologous fat grafting (AFG) is a common technique used to enhance aesthetic outcomes in postmastectomy breast reconstruction patients. Adipokines are hormones secreted by adipose tissue that play critical role regulating metabolic processes and the immune system. However, dysregulated adipokine secretion signaling can contribute development progression of cancer promoting angiogenesis, altering response, inducing epithelial mesenchymal transition. We aimed assess how cells...
PURPOSE: Breast sensation after postmastectomy reconstruction has become increasingly important to patients and surgeons alike, garnering attention on a national scale. Our team previously shown superior sensory recovery in autologous compared alloplastic reconstruction, but without full understanding of psychosocial impact the patient. In this study, we build our previous work by evaluating patient-reported outcomes comparing them cutaneous breast sensation. METHODS: Women undergoing...
Purpose: As the surgical community has increasingly realized importance of patient-reported outcomes as a measure success surgery, new tools have been developed to allow providers assess patient satisfaction and psychosocial in standardized manner. The recently-published BREAST-Q Sensation Module addresses need evaluate breast sensation its impact on life postmastectomy reconstruction patients. Methods: This study included 90 patients with alloplastic 103 autologous reconstruction. Patients...
Abstract Disclosure: S. Arbuiso: None. Y. Chen: N.A. Vernice: A. Zhang: I.J. Rhodes: C.C. Alston: Hanif: Liu: P. Bhardwaj: D. Janhofer: G.G. Black: D.M. Otterburn: K.A. Brown: Introduction: Autologous fat grafting is commonly used in breast reconstruction as it associated with good cosmetic outcomes, high patient satisfaction, and minimal risks. Adipose tissue known to support cancer growth via the secretion of adipokines modulation estrogen levels due aromatase expressed adipose stromal...
Both governmental and nongovernmental training programs are expanding efforts to train the next generation of plastic surgeons who will work in low- middle-income countries (LMICs). Sufficient is dependent on acquiring appropriate skillset for these contexts. Few studies have characterized spectrum practice LMICs their relative disparity.
Microsurgical technique is still not readily available in many low- and middle-income countries. Few works the scholarly literature describe establishment of microsurgical practice on African continent, there are virtually no descriptions financial aspects free flap performance by locally staffed teams sub-Saharan Africa. The Kapsowar Hospital a hospital rural Kenya with 2 plastic reconstructive surgeons certified American Board Plastic Surgery has recently expanded clinical to include...