A5033312021- Orthopedic Surgery and Rehabilitation
- Craniofacial Disorders and Treatments
- Cleft Lip and Palate Research
- Trauma Management and Diagnosis
- Reconstructive Surgery and Microvascular Techniques
- Breast Implant and Reconstruction
- Hip and Femur Fractures
- Nerve Injury and Rehabilitation
- Peripheral Nerve Disorders
- Spine and Intervertebral Disc Pathology
- Spinal Dysraphism and Malformations
- Traumatic Brain Injury and Neurovascular Disturbances
- Cerebrospinal fluid and hydrocephalus
- Breast Cancer Treatment Studies
- Nerve injury and regeneration
- Bariatric Surgery and Outcomes
- Tracheal and airway disorders
- Spinal Hematomas and Complications
- Abdominal Surgery and Complications
- Digital Imaging in Medicine
- Bone fractures and treatments
- Fetal and Pediatric Neurological Disorders
- Dupuytren's Contracture and Treatments
- Obesity, Physical Activity, Diet
- Patient-Provider Communication in Healthcare
Cleveland Clinic
2021-2025
Creative Commons
2023
Committee on Publication Ethics
2023
Cleveland Research (United States)
2021
Rosalind Franklin University of Medicine and Science
2019-2020
OBJECTIVE Patients with osteopenia or osteoporosis who require surgery for symptomatic degenerative spondylolisthesis may have higher rates of postoperative pseudarthrosis and need revision than patients normal bone mineral densities (BMDs). To this end, the authors compared following single-level lumbar fusion in BMD those osteoporosis. The secondary outcome was to investigate effects pretreatment medications that prevent loss (e.g., teriparatide, bisphosphonates, denosumab) on these...
This study investigates the rates of obesity-related cancers in patients undergoing vertical sleeve gastrectomy (VSG), Roux-en-Y gastric bypass (RYGB), or no surgical intervention.Obesity has been previously associated with increased cancers; however, weight loss surgeries have not explored to demonstrate their potential risk reduction impact.Patients meeting bariatric eligibility criteria between January 2010 and December 2018 were identified. Exact 1:1:1 matching based on baseline patient...
A multidisciplinary work group involving stakeholders from various backgrounds and societies convened to revise the guideline for reduction mammaplasty. The goal was develop evidence-based patient care recommendations using new American Society of Plastic Surgeons methodology. prioritized reviewing evidence around need surgery as first-line treatment, regardless resection weight or volume. Other factors evaluated included drains, postoperative oral antibiotics, risk that increase...
Intramedullary tumors constitute approximately 20-30% of all spinal cord and 30-40% these are astrocytomas. Furthermore, they comprise only about 2-4% primary central nervous system (CNS) tumors. Due to their rarity poor prognosis, large population-based studies needed assess the epidemiology survival risk factors associated with in hope improving outcomes. The authors undertook this retrospective study explore that may influence adult patients intramedullary astrocytomas.Utilizing...
Study Design. Retrospective cohort. Objective. The aim of this study was to analyze association between social determinants health (SDH) disparity on postoperative complication rates, and 30-day 90-day all-cause readmission in patients undergoing single-level lumbar fusions. Summary Background Data. Decreasing rates is great interest surgeons healthcare systems. Postoperative complications are associated with poor convalescence, inferior patient reported outcomes measures, increased care...
BACKGROUND: Utilization of peninsular buccal flaps for primary cleft palate repair is well-documented in the literature. However, there no report on application an island flap repair. This study aims to reveal clinical axial neurovascular propeller buccinator myomucosal flap. METHODS: An anatomical was performed by injection into pedicle twenty-two fresh hemifacial cadavers. Additionally, we analyzed palatal healing and outcomes twenty-five reconstructions utilizing thirty-six pedicled...
With the costs related to United States medical system constantly rising, efforts are being made turn traditional inpatient procedures into outpatient same-day surgeries. In this study authors looked at various comorbidities and perioperative complications their impact on readmission rates of patients undergoing versus 3- 4-level anterior cervical discectomy fusion (ACDF).
In the United States, few high-quality manuscripts have directly compared complication profiles of percutaneous endoscopic versus fluoroscopic gastrostomy. Thus, it is our goal to compare these 2 common procedures better understand their efficacy and profiles.A retrospective analysis patient records from Medicare parts A/B 2007 2012 was used identify gastrostomy procedures. Patient demographics were stratified by age, sex, comorbidities, complications.A total 258,641 patients found either...
Placement of the distal shunt catheter into peritoneum during ventriculoperitoneal (VPS) surgery can be done with either laparoscopic assistance or laparotomy.To compare outcomes in laparoscopic-assisted vs laparotomy for placement VPS Medicare population.Patients undergoing placement, between 2004 and 2014, were identified by International Classification Disease, Ninth Revision Current Procedural Terminology codes database. Demographic data including age, sex, comorbidities, indications...
Background: This article compares the rates and time-to-development of new-onset Dupuytren disease in patients with trigger finger treated by steroid injection, surgical release, or both. Methods: PearlDiver’s Mariner 30 database was queried to identify between January 2010 June 2019. One-to-one exact matching based on baseline patient demographics allowed us create 4 identical groups defined type intervention received. Results: The matched population analyzed this study consisted 85 944 who...
Combined targeted muscle reinnervation with regenerative peripheral nerve interfaces ("TMRpni") is a recently described management strategy that leverages beneficial elements of (TMR) and interface (RPNI) techniques. This study aimed to evaluate the effect TMRpni on long-term opioid consumption after amputation. We hypothesize decreases chronic in amputees.
Social media have emerged as a critical component of many plastic surgeons’ practices.1 Posting on social has enabled surgeons to reach patients in new ways, and become significant driver revenue, but it is unclear how patient-generated posts can affect clinic throughput.2 In November 2021, patient from our hospital created TikTok displaying her results following bilateral breast reduction. The video mentioned the senior author (A.R.) by name went viral, amassing more than 10 million views...
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...
We aimed to evaluate the long-term complication profile associated with port-a-catheter placement.Patients undergoing placement from 2007 2012 5-year follow up were identified. Descriptive statistics, χ2 tests, and multivariate regression models analyzed.Any occurring within 5 years postoperatively was common (59.04%, n = 53,353). Arrhythmogenic (32.66%, 30,625) thrombovascular (36.80%, 34,499) complications more than infection (17.86%, 16,745) mechanical (10.31%, 9,670) complications....
BACKGROUND: Adult traumatic brachial plexus injuries (TBPIs) are life-altering events that can have detrimental effects on a patient's quality of life. OBJECTIVE: To examine how social determinants health (SDOH) disparities influence the risk developing new psychosocial conditions after TBPIs in previously psychiatric-naïve patients. METHODS: Between January 2010 and June 2019, retrospective analysis was performed using PearlDiver's Mariner, an all-payer claims database, to create 3 cohorts:...
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...
Temporomandibular joint (TMJ) arthritis arises from a multitude of etiologies; however, there is no consensus definitive treatment. The complication profile artificial TMJs well known, and outcomes are variable reserved for salvage attempts. This case details patient with persistent traumatic TMJ pain, arthritis, single-photon emission computed tomography scan potential nonunion. present study reports on the first novel use an alternative composite myofascial flap to help arthritic pain....
The latissimus dorsi-rib osteomyocutaneous free flap (LDRF) has been used for autologous reconstruction of large composite calvarial and scalp defects. In this study, the authors aim to present clinical patient-reported outcomes after LDRF reconstruction.
INTRODUCTION: Lateral osteotomies (LO) are the mainstay modality to address prominent dorsal humps or widened nasal bones in patients undergoing rhinoplasty. Despite their accepted role rhinoplasty, there is variation how surgeons osteotomize bones, with classic reports describing an intranasal percutaneous approach. Description of intraoral LOs scant, likely due difficulty surgeon experience and comfort. The Piezoelctric Device has garnered attention craniofacial surgery, as it enables...