Summary: Supercharge end-to-side anterior interosseous–to–ulnar motor nerve transfer is commonly performed in the authors’ institution to augment intrinsic hand function. Following observations of recovery patterns, authors hypothesized that despite its more distal innervation, first dorsal interosseous muscle recovers a greater extent than abductor digiti minimi muscle. The objective this work was evaluate clinical and electrodiagnostic pattern reinnervation musculature following...

Background: The objective of this study was to compare the economic impact complete decongestive therapy and lymphovenous bypass in management upper extremity lymphedema. Methods: Economics were modeled for a patient with breast cancer–related lymphedema undergoing three different clinical pathways: (1) alone; (2) no longer requiring ongoing therapy; or (3) therapy. Activity-based cost analysis identified costs incurred bypass. Costs retrieved from supplier price lists, physician fee...

Background There is significant variability in undergraduate Otolaryngology – Head and Neck Surgery (OTOHNS) curricula across Canadian medical schools. As part of an extracurricular program delivered jointly with other surgical specialties, the Surgical Exploration Discovery (SEAD) presents opportunity for students to experience OTOHNS. The purpose this study review participation outcome OTOHNS SEAD program. Methods a two-week, 80-hour, structured curriculum that exposes first-year nine...

Background There is a strong body of evidence addressing short-term outcomes following wrist ganglion aspiration; however, few studies have investigated long-term and patient satisfaction. Objective To evaluate satisfaction the rate recurrence aspiration. Methods Charts all patients with treated by single surgeon from 2001 to 2011 were reviewed. Demographic clinical data retrieved charts. Patients contacted telephone asked complete questionnaire recurrence, symptom improvement. Improvement...

3D-printed vascular models can enhance flap harvesting efficiency in abdominal free breast reconstruction, reducing the use of operating room time. However, no economic analyses with respect to model this context have been conducted date. As such, study examines cost-benefit tradeoffs for reconstruction.

Abstract Background There is a paucity of research investigating the impact patient comorbidities, such as obesity and smoking, on nerve transfer outcomes. The objective this retrospective cohort study was to evaluate body mass index (BMI) comorbidities clinical outcomes upper extremity transfers. Methods A executed. Patients were eligible for inclusion if they had an with minimum 12-months follow-up. Data collected regarding demographics, injury etiology, transfer, well preoperative...

Neuralgic amyotrophy (NA) is a disease affecting peripheral nerves. Treatment has historically been conservative, as the natural course of was thought to be self-limiting. Recent work demonstrated that many two-thirds people with NA have persistent pain, fatigue, or weakness. At authors' center, supercharged end-to-side (SETS) nerve transfers are commonly performed in patients optimize motor recovery while allowing for native axonal regrowth. The authors describe technique and clinical...

Unilateral thoracic paravertebral blocks (TPVBs) have demonstrated reliable intraoperative analgesia, low postoperative pain scores, and an opioid-sparing effect in breast cancer surgery. However, secondary to the perceived risk of complications, bilateral TPVB been less well accepted are frequently used. The purpose this study was evaluate feasibility using TPVBs outpatient surgery for patients undergoing mastectomy with immediate implant-based reconstruction. Electronic medical records...

There is a strong body of evidence addressing short-term outcomes following wrist ganglion aspiration; however, few studies have investigated long-term and patient satisfaction.To evaluate satisfaction the rate recurrence aspiration.Charts all patients with treated by single surgeon from 2001 to 2011 were reviewed. Demographic clinical data retrieved charts. Patients contacted telephone asked complete questionnaire recurrence, symptom improvement. Improvement was assessed using Likert scale,...

Background: Bilateral prophylactic mastectomy (BPM) has shown breast cancer risk reduction in high-risk/BRCA+ patients. However, priority of active cancers coupled with inefficient use operating room (OR) resources presents challenges offering BPM a timely manner. To address these challenges, rapid access and immediate reconstruction (RAPMIR) program was innovated. The purpose this study to evaluate RAPMIR regards care efficiency. Methods: We retrospectively reviewed the cases all patients...

Background: The purpose of this work was to determine the regional anesthesia preferences plastic surgeons (PS) and anesthesiologists (A) involved in breast reconstruction Canada. Methods: Online surveys were sent members Canadian Society Plastic Surgeons (CSPS) Anesthesiologists (CAS). primary outcome (delayed, immediate, alloplastic, autologous). Secondary outcomes included availability influence specialty academic status on preferences. Statistical analysis used descriptive statistics...

INTRODUCTION: Surgical outcomes associated with the use of microvascular anastomotic coupling devices (MACD) are well reported in literature – compared hand-sutured anastomoses, MACDs confer equivalent flap survival1,2 reduced operative time.3,4 The purpose this study was to assess economics a anastomosis coupler-assisted anastomosis. Following up on our previous that focused Canadian context,5 we expanded scope research include American market. MATERIALS AND METHODS: Economics were analyzed...

Background: The objective of this work is to: (i) evaluate the postoperative outcomes after lower extremity nerve transfer (LENT) in patients with peroneal palsy, and (ii) patient surgical factors that best predict successful restoration ankle dorsiflexion following transfer. Methods: A retrospective cohort prospectively collected data included all who underwent LENT (2010-2018). Two independent reviewers performed collection. Primary outcome measures were: clinically British Medical...