Abstract Background As the prevalence of obesity increases, number patients seeking body contouring procedures after bariatric surgery for massive weight loss is increasing. Although positive impact on physical and emotional health well-described, few studies have reported psychosocial well-being undergoing procedures. Psychosocial can patient satisfaction maintenance loss, an important area to study. Objective The aim this study was characterize social psychiatric factors surgery, evaluate...

Introduction: In children with PRS, MDO is routinely performed to alleviate airway obstruction; however, it involves risk of injury the MMN. We hypothesize that MMN palsy incidence following MDO, reported at 1-15%, underestimated. This study investigates true after better guide follow-up care and improve treatment this complication. Methods: A retrospective review PRS patients who underwent a single, tertiary pediatric hospital between September 2007 March 2021 was conducted. Patients under...

Background Tissue expander-based breast reconstruction is associated with high rates of infectious complications, often leading to tissue expander explants and delays in receipt definitive adjuvant therapy. In this study, we describe a single-stage technique where deep inferior epigastric artery perforator (DIEP) flaps are used salvage actively infected expanders among patients originally planning for free flap reconstruction. Methods technique, infections without systemic illness maintained...

Abstract Introduction In the United States, 5%–10% of breast cancer cases are due to genetic predisposition. Among this population, prophylactic mastectomy is viable risk‐reducing option. Objective The objective study understand timing in patients with predisposition and uncover factors influencing decision. Methods This a retrospective review diagnosed for from 2010 2020. Results cohort 506 cancer, 154 (30.4%) underwent mastectomy, remainder opted surveillance alone. median time diagnosis...

Background: Nasoorbitoethmoid (NOE) fractures impact growth of the craniofacial skeleton in children, which may necessitate differentiated management from adult injuries. This study describes characteristics, management, and outcomes NOE children seen at a single institution. Methods: A retrospective review patients under 18 years who presented to our institution 2006 2021 with facial was conducted; were included. Data collected included demographics, mechanism injury, fracture type,...

Background: Mandibular fractures account for up to 48.8% of pediatric facial fractures; however, there are a wide range available treatment modalities, and few studies describe trends in adverse outcomes these injuries. This study describes fracture cause, pattern, management, mandibular patients. Methods: A retrospective review was performed patients younger than 18 years who were evaluated at level I trauma center between 2006 2021. Variables studied included demographics, medical history,...

Purpose: Perinatal brachial plexus palsy (PBPP) is a rare condition that poses challenges to treating providers. While most cases resolve without surgical intervention, evaluating upper-extremity motor power in infants represents clinical challenge, and it difficult predict which patients will go on require management. The Active Movement Scale (AMS) validated scale provides quantifiable assessment of strength infants. Our study describes trends AMS scores over time PBPP better understand...

Purpose: CranioRate™ is a deep-phenotyping machine learning tool used to quantify morphologic severity in craniosynostosis. We present an analysis of the largest metopic craniosynostosis patient cohort date understand spectrum while identifying alterations clinically appreciable skull regions. Methods: provides two objective, holistic metrics for quantifying craniosynostosis: Metopic Severity Score (MSS) and Cranial Morphology Deviation (CMD). De-identified CTs from normal patients multiple...

Background: In 2021, our institution established a professional coaching program available to the integrated plastic surgery residents within experimental Competency-Based, Time Variable Training Program. Coaching, which is distinguished from other educational interventions in that it learner-centered, initiated, and driven, involves collaborative relationship between coached individuals, has been consistently shown be valuable for clinical skills development. However, while used effectively...

Introduction: Women plastic surgeons have attained parity in the specialty, yet positions of leadership remain elusive. Identification successful pathways, forged by women leaders our society, may help to navigate this challenging landscape. This study provides a cross-sectional analysis common characteristics, attitudes, and achievements among surgery as key unlock opportunity. Methods: A Qualtrics survey was distributed all active members American Society Plastic Surgeons (ASPS) 2023....

Purpose: Obstetric brachial plexus palsy (OBPP) can lead to lifelong disability, resulting in significant social, psychological, and economic consequences for patients their families. Coordinated care of infants with OBPP requires specialized follow-up a multidisciplinary team, including plastic surgeons occupational therapists, over the course many years. Due complex coordination required establishing consistent care, patient's socioeconomic geographic context may impact level they are able...

Pediatric craniofacial fractures are fundamentally distinct from their adult counterparts because of unique injury patterns and effects on future growth. Understanding context informs management risk mitigation. Previous studies include only inpatients, operative patients, or specialty-specific. In contrast, our study presents a comprehensive assessment all pediatric facial fracture patients seen at single institution. Patients under 18 years old who were evaluated for level I trauma center...

PURPOSE: Under-served populations including racial minorities, low-income, and rural patients, are disproportionately affected by trauma. This study describes pediatric hand injuries in these groups assesses their risk of injury. METHODS: was a retrospective cohort trauma patients from 2010-2020. Patients were stratified race, median household income, geography. Area Deprivation Index (ADI) calculated top 50% (most disadvantaged neighborhoods). Summary statistics computed, binomial...

PURPOSE: CranioRate™ is a machine learning tool designed to assess craniosynostosis severity by analyzing cranial morphology. This study examines the largest metopic patient group date, aiming understand and identify affected skull regions. METHODS: provides two objective, holistic metrics for quantifying in craniosynostosis: Metopic Severity Score (MSS) Cranial Morphology Deviation (CMD). De-identified CTs from normal patients multiple U.S. institutions were compiled analyzed using...

PURPOSE: Obstetric brachial plexus palsy (OBPP) is a serious complication of birth. When evaluating infants for OBPP, potential barriers to care must be considered promote successful follow-up. This study aims assess the role socioeconomic context on outcomes OBPP patients. METHODS: A retrospective review was performed who presented Children's Hospital Pittsburgh from 2008 2020. Area Deprivation Index (ADI) and urban-rural locale were collected each patient. Outcomes interest included...

Background: Children who sustain injuries resulting in facial fractures are at risk for concomitant concussion. Prompt diagnosis and appropriate management of concussions crucial preventing neurocognitive impairment. The goal this study is to examine the relationships between distinct craniofacial fracture patterns, injury mechanism, concussion pediatric patients. Methods: A retrospective review 3334 patients <18 years age were evaluated a level I trauma center from 2006 2021 was...

PURPOSE: Pediatric facial fractures are a common cause of emergency department visits and hospital admissions. However, little has been published on the social determinants health for pediatric fractures. This study aims to investigate contribution socioeconomic status, race, education, household structure, English-language proficiency, insurance status management outcomes in fracture patients. METHODS: A retrospective review was performed patients under age 18 who were evaluated at level I...

The COVID-19 pandemic exacerbated the ongoing opioid crisis in United States. Individuals with a substance use disorder are vulnerable to relapse during times of acute stress. Online peer support communities (OPSCs) have potential decrease social isolation and increase for participants. In September 2020, we launched private, professional-moderated OPSC using Facebook Group platform study its effects on mental health wellness women undergoing treatment. This was particularly meaningful as...

PURPOSE: In 2018, the University of Pittsburgh Medical Center (UPMC) adopted a Competency-Based, Time-Variable (CBTV) model for plastic surgery training, first its kind in United States. This educational emphasizes performance and skill mastery, rather than time-based benchmarks, as measure by which residents are deemed fit graduation. METHODS: Starting PGY1 year, each resident is evaluated regularly via oral exam to assess knowledge principles. Resident self-assessment technical competency...

PURPOSE: Mandibular fractures account for up to 48.8% of pediatric facial fractures; however, there are a wide range available treatment modalities, and few studies describe trends in adverse outcomes these injuries. This study describes fracture etiology, pattern, management, mandibular patients. METHODS: A retrospective review was performed patients under 18 years age who were evaluated at level I trauma center between 2006 2021. Variables studied included demographics, medical history,...

PURPOSE: Psychosocial support impacts patients' management and outcomes in a wide range of medical surgical procedures. This study aims to assess the effects differing levels social on pre-operative self-image post-operative such as weight-loss complications body contouring patients. METHODS: A retrospective review was performed all patients who presented our institution for procedures between 2002 2018. Variables studied included demographic information, self-image, support, outcomes....

PURPOSE: Pediatric craniofacial fractures are fundamentally distinct from their adult counterparts due to unique injury patterns and effect on future growth. Understanding context informs management risk mitigation. Previous studies include only inpatients, operative patients, or specialty-specific; in contrast, our study presents a comprehensive descriptive report of all pediatric facial fracture patients seen at single institution. METHODS: Patients under 18 years old who were evaluated...

PURPOSE: Mandibular fractures are among the most common pediatric facial and typically managed conservatively. Despite this, patients often transferred, leading to costly "inappropriate" transfers. This study evaluates factors influencing transfer, defined as a patient receiving conservative treatment post-transfer children's hospital. METHODS: A retrospective review was performed of under 18 years age who were evaluated for mandibular at level I trauma center between 2006 2021. Variables...

Background: Treatment of facial fractures in pediatric patients requiring intensive care unit (ICU) has not been well categorized. The purpose this study is to describe a single-institution experience with the management ICU-level care. Methods: We performed retrospective review under 18 years old who presented level I trauma center between 2006 and 2021. Types fractures, mechanisms injury, operative treatment, GCS score, associated injuries were evaluated ICU compared admitted hospital, but...