-
Robotics in Microsurgery and Supermicrosurgery Semin. Plast. Surg. (IF 2.0) Pub Date : 2024-03-04 Heather R. Burns, Alexandra McLennan, Erica Y. Xue, Jessie Z. Yu, Jesse C. Selber
Microsurgery has changed the ability to perform highly precise and technical surgeries through the utilization of high-powered microscopes and specialized instruments to manipulate and repair anatomical structures as small as a few millimeters. Since the first human trials of robotic-assisted microsurgery in 2006, the expansion of microsurgery to supermicrosurgery (luminal diameter less than 1 mm)
-
Perioperative Opioid-Related Harms: Opportunities to Minimize Risk Semin. Plast. Surg. (IF 2.0) Pub Date : 2024-02-18 Dominic Alessio-Bilowus, Alexandra O. Luby, Samantha Cooley, Sarah Evilsizer, Elizabeth Seese, Mark Bicket, Jennifer F. Waljee
Although substantial attention has been given to opioid prescribing in the United States, opioid-related mortality continues to climb due to the rising incidence and prevalence of opioid use disorder. Perioperative care has an important role in the consideration of opioid prescribing and the care of individuals at risk for poor postoperative pain- and opioid-related outcomes. Opioids are effective
-
Ethical Principles in Plastic Surgery Research Semin. Plast. Surg. (IF 2.0) Pub Date : 2024-02-08
Research is an integral part of medical progress that leads to better understanding of disease processes and the development of therapies to improve patient care. The medical community has an obligation and societal responsibility to review its practices and advance its knowledge to optimize care for those who entrust it with their health and well-being. While ultimately intended to benefit patients
-
Merging Humans and Neuroprosthetics through Regenerative Peripheral Nerve Interfaces Semin. Plast. Surg. (IF 2.0) Pub Date : 2024-02-06
Limb amputations can be devastating and significantly affect an individual's independence, leading to functional and psychosocial challenges in nearly 2 million people in the United States alone. Over the past decade, robotic devices driven by neural signals such as neuroprostheses have shown great potential to restore the lost function of limbs, allowing amputees to regain movement and sensation.
-
60 Years of Michigan Plastic Surgery Semin. Plast. Surg. (IF 2.0) Pub Date : 2024-02-05 Ipek Berberoglu, Katherine L. Burke, Robert H. Gilman, Steven Kasten, Paul S. Cederna, Stephen W.P. Kemp
In 1964, the Section of Plastic and Reconstructive Surgery at the University of Michigan opened its doors to future surgeons and leaders in the field. Today, we are celebrating the 60-year history of the program and its significant contributions to the field. Beginning under the leadership of Reed O. Dingman, MD, DDS, the program began with three faculty members and two independent surgical residents
-
A History of Gender-Affirming Surgery at the University of Michigan: Lessons for Today Semin. Plast. Surg. (IF 2.0) Pub Date : 2024-01-19 Cole Roblee, Os Keyes, Gaines Blasdel, Caleb Haley, Megan Lane, Lauren Marquette, Jessica Hsu, William M. Kuzon Jr.
The University of Michigan has played an important role in advancing gender-affirming surgery programs in the United States. The University of Michigan was home to a little-known gender identity clinic shortly after the opening of the first such clinic at Johns Hopkins. Since 1995, the University of Michigan Comprehensive Services Program (UMCGSP) has been continually offering surgical services to
-
A Historical Review of Racial, Ethnic, and Gender Diversity in Plastic Surgery at the University of Michigan Semin. Plast. Surg. (IF 2.0) Pub Date : 2024-01-19 Julien J.L. Levy, Rachel C. Hooper
In this article, we examine the 60-year history of diversity efforts within the Section of Plastic Surgery at the University of Michigan (UofM) in the context of national trends. We describe the experiences of pioneering Underrepresented in Medicine (URiM) and female graduates of the program. James Norris, MD, and Christine Sullivan, MD, were the first URiM and female graduates from UofM in 1974 and
-
Regenerative Peripheral Nerve Interface Surgery for the Management of Chronic Posttraumatic Neuropathic Pain Semin. Plast. Surg. (IF 2.0) Pub Date : 2024-01-19 Jennifer C. Lee, Stephen W.P. Kemp, Theodore A. Kung
Chronic pain resulting from peripheral nerve injury remains a common issue in the United States and affects 7 to 10% of the population. Regenerative Peripheral Nerve Interface (RPNI) surgery is an innovative surgical procedure designed to treat posttraumatic neuropathic pain, particularly when a symptomatic neuroma is present on clinical exam. RPNI surgery involves implantation of a transected peripheral
-
Management of Neuropathic Pain with Neurectomy Combined with Dermal Sensory Regenerative Peripheral Nerve Interface (DS-RPNI) Semin. Plast. Surg. (IF 2.0) Pub Date : 2024-01-19 Geoffrey E. Hespe, David L. Brown
Neuropathic pain affects a large percentage of the U.S. population and leads to tremendous morbidity. Numerous nonsurgical and surgical treatments have been utilized to try and manage neuropathic pain with varying degrees of success. Recent research investigating ways to improve prosthetic control have identified new mechanisms for preventing neuromas in both motor and sensory nerves with free muscle
-
Pyrocarbon Lunate Arthroplasty: An Option for the Young Patient with Advanced Kienbock Disease Semin. Plast. Surg. (IF 2.0) Pub Date : 2024-01-19 Shashank S. Dwivedi, Kevin C. Chung
Kienbock disease, or avascular necrosis of the lunate, is an uncommon cause of a painful and stiff wrist. Management options range from conservative treatment in the form of immobilization and corticosteroid injections to a wide variety of surgical treatments that depend on the structural integrity of the lunate, intercarpal relationships, and the condition of the articular cartilage of the wrist.
-
H Vessel Formation as a Marker for Enhanced Bone Healing in Irradiated Distraction Osteogenesis Semin. Plast. Surg. (IF 2.0) Pub Date : 2024-01-19 Melissa Daniel, Nathan Sheppard, Garrison Carlos, Noah Nelson, Alex Donneys, Steven R. Buchman
In the setting of bone defects, the injured vasculature and loss of hemodynamic inflow leads to hematoma formation and low oxygen tension which stimulates vascular expansion through the HIf-1α pathway. Most importantly, this pathway upregulates sprouting of type H vessels (CD31hiEmcnhi vessels). H vessels engage in direct interaction with perivascular osteoprogenitor cells (OPCs), osteoblasts, and
-
Financial Toxicity in Breast Reconstruction: The Role of the Surgeon-Patient Cost-of-Care Discussion Semin. Plast. Surg. (IF 2.0) Pub Date : 2024-01-19 Brigit D. Baglien, Nishant Ganesh Kumar, Nicholas L. Berlin, Sarah T. Hawley, Reshma Jagsi, Adeyiza O. Momoh
The financial burden of breast cancer treatment and reconstruction is a significant concern for patients. Patient desire for preoperative cost-of-care counseling while navigating the reconstructive process remains unknown. A cross-sectional survey of women from the Love Research Army was conducted. An electronic survey was distributed to women over 18 years of age and at least 1 year after postmastectomy
-
Common Pediatric Hand Anomalies Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-11-28 Jacob H. McCarter, Ricardo A. Zeledon, Samuel H. Cole, Sarah A. Layon, Jenny Lee Nguyen
Upper extremity congenital anomalies in the newborn are second only to congenital heart anomalies. Some of the more commonly encountered upper extremity anomalies are trigger thumb, thumb hypoplasia, polydactyly, syndactyly, and amniotic band syndrome. While some conditions occur in isolation, others are known to commonly occur in association with syndromes. Familiarity with these conditions is important
-
Updates in Cleft Care Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-11-16
Cleft lip and/or palate is a congenital malformation with a wide range of presentations, and its effective treatment necessitates sustained, comprehensive care across an affected child's life. Early diagnosis, ideally through prenatal imaging or immediately postbirth, is paramount. Access to longitudinal care and long-term follow-up with a multidisciplinary approach, led by the recommendations of the
-
Craniofacial Distraction Osteogenesis Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-11-16 Heather R. Burns, Daniel S. Wang, Amjed Abu-Ghname, Robert F. Dempsey
Distraction osteogenesis (DO) of the craniofacial skeleton has become an effective technique for the treatment of both nonsyndromic and syndromic conditions. The advent of craniofacial DO has allowed for earlier intervention in pediatric patients with less complication risk and morbidity compared to traditional techniques. In this review, we will discuss current application and technique for craniofacial
-
Pediatric Microsurgery and Free-Tissue Transfer Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-11-16 Heather R. Burns, Anna J. Skochdopole, Richardo Alfaro Zeledon, William C. Pederson
Advancements in microsurgery, along with increased microsurgical experience in pediatric patients, have made free-tissue transfer a reliable modality for pediatric bone and soft tissue reconstruction today. Free-tissue transfer is most commonly used in children for the coverage of large or complex defects resulting from traumatic, oncologic, or congenital etiologies. While flap success and complication
-
Pediatric Craniofacial Tumor Reconstruction Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-11-10 Matthew J. Parham, Yang Ding, Daniel S. Wang, Austin Y. Jiang, Edward P. Buchanan
Effective management of pediatric craniofacial tumors requires coordinated input from medical, oncologic, and surgical specialties. Reconstructive algorithms must consider limitations in pediatric donor tissue and account for future growth and development. Immediate reconstruction is often focused on filling dead space, protecting underlying structures, and ensuring skeletal symmetry. Staged reconstruction
-
Seminars in Plastic Surgery: Pediatric Ear Anomalies and Reconstruction Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-11-10 Heather R. Burns, Jacob Dinis, Yang Ding, Edward P. Buchanan
Congenital ear anomalies affect 15 to 20% of neonates and can be categorized as either auricular deformations or malformations. Deformations involve a fully developed, albeit abnormally shaped, chondrocutaneous framework, which makes them amenable to correction with ear molding within the first few months of life. Malformations involve hypoplastic or fully absent auricular structures that require augmentation
-
Robotic Nerve Surgery: Brachial Plexus Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-09-18 Matthew J. Parham, Samuel H. Cole, Nicholas H. Yim, William C. Pederson
Management of closed brachial plexus injuries has traditionally favored conservative approaches with lengthy intervals between initial injury and surgical reconstruction. The complex anatomy of this region often requires large incisions with extensive dissection. Recently, the use of robotic systems in plastic and reconstructive surgery has been increasing, and robot-assisted brachial plexus reconstruction
-
Updates in Robotic Head and Neck Reconstructive Surgery Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-08-28 Michael Hajek, Christopher M.K.L. Yao
The use of robotics in head and neck surgery has drastically increased over the past two decades. Transoral robotic surgery has revolutionized the surgical approach to the upper aerodigestive tract including the oropharynx and supraglottic larynx. The expanded use and improving technology of robotics have allowed for new approaches in both the ablative and reconstructive aspects of head and neck surgery
-
Robotic Plastic Surgery Education: Developing a Robotic Surgery Training Program Specific to Plastic Surgery Trainees Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-08-04 Nicholas H. Yim, Heather R. Burns, Matthew J. Davis, Jesse C. Selber
Over the past two decades, the surgical community has increasingly embraced robotic-assisted surgery (RAS) due to its potential to enhance accuracy and decrease surgical morbidity. Plastic surgery as a field has been historically slow to incorporate RAS, with lack of adequate training posing as one of the most commonly cited barriers. To date, robot technology has been utilized for various reconstructive
-
Robotic Surgery and Hospital Reimbursement Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-08-03 Nicholas H. Yim, Jacob McCarter, Tareck Haykal, Ali M. Aral, Jessie Z. Yu, Edward Reece, Sebastian Winocour
The field of plastic surgery remains at the forefront of technological and surgical innovation. However, the promising applications of robotics in plastic surgery must be thoughtfully balanced with hospital finances and reimbursements. Robotic systems have been studied extensively across multiple surgical disciplines and across diverse health care systems. The results show that there may be equal or
-
Robotics in Gender Affirming Surgery: Current Applications and Future Directions Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-08-03 Isabel S. Robinson, Lee C. Zhao, Rachel Bluebond-Langner
Genital surgery for the treatment of gender dysphoria has undergone significant evolution since its inception in the first half of the 20th century. Robotic approaches to the pelvis allow for improved visualization and reduced abdominal wall morbidity, making the robotic surgical system a very useful tool in the gender affirming genital surgeon's armamentarium. In penile inversion vaginoplasty, robotically
-
Robotics in Implant-Based and Autologous Breast Reconstruction Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-08-03 Brody W. King, Jacob H. McCarter, Heather R. Burns, Shirin Soleimani, Marco A. Maricevich, Jessie Z. Yu
Autologous and implant-based breast reconstruction continues to evolve as new technology and mastectomy techniques become available. Robotic-assisted breast reconstruction represents a growing field within plastic surgery, with the potential to improve aesthetic and functional outcomes, as well as patient satisfaction. This article provides a review of indications, techniques, and outcome data supporting
-
Remote Robotic Surgery and Virtual Education Platforms: How Advanced Surgical Technologies Can Increase Access to Surgical Care in Resource-Limited Settings Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-07-30 Youmna A. Sherif, Mohammed A. Adam, Aimee Imana, Sarnai Erdene, Rachel W. Davis
Advanced surgical technologies consist of remote and virtual platforms that facilitate surgical care and education. It also includes the infrastructure necessary to utilize these platforms (e.g., internet access, robotic systems, and simulators). Given that 5 billion people lack access to safe and timely surgical care, the appeal of these technologies to the field of global surgery lies primarily in
-
Management of Brachial Plexus Birth Injuries at British Columbia Children's Hospital Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-07-26 Cynthia Verchere, Kim Durlacher, Doria Bellows
A multidisciplinary team at BC Children's Hospital provides brachial plexus birth injury management for our provincial catchment area. Although compared with many centers we service a relatively small clinic population, we have the benefit of universal health care, province-wide reach, and accessible research infrastructure. In 2008, we created the Sup-ER protocol, which includes an orthosis that passively
-
Management of Brachial Plexus Birth Injury: The SickKids Experience Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-07-26 Thomas R. Cawthorn, Sevan Hopyan, Howard M. Clarke, Kristen M. Davidge
This article describes the approach utilized by the multidisciplinary team at Sick Kids Hospital to evaluate and treat patients with brachial plexus birth injury (BPBI). This approach has been informed by more than 30 years of experience treating over 1,800 patients with BPBI and continues to evolve over time. The objective of this article is to provide readers with a practical overview of the Sick
-
Robotic Rectus Abdominis Harvest for Pelvic Reconstruction after Abdominoperineal Resection Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-07-25 Richard Appel, Linden Shih, Alejandro Gimenez, Caroline Bay, Christy Yoon-Hee Chai, Marco Maricevich
The use of robotic surgical systems to perform abdominoperineal resection (APR) has recently become more prevalent. This minimally invasive approach produces fewer scars and potentially less morbidity for the patient. The rectus abdominis muscle is often used for reconstruction after APR if primary closure is not feasible or the surgical site is at high risk of wound complications. Since the traditional
-
Aaron J. Berger, MD, PhD, Dan A. Zlotolow, MD, FAOA. Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-07-26 Edward P Buchanan
-
Robotic-Assisted Nipple Sparing Mastectomy Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-07-17 Heather R. Burns, Jacob H. McCarter, Brody W. King, Jessie Z. Yu, Rosa F. Hwang
Minimally invasive approaches to breast surgery have evolved from endoscopic techniques to recent developments in robotic-assisted mastectomies. Initial studies on robotic-assisted nipple-sparing mastectomy (RNSM) have shown improved patient satisfaction and aesthetic outcomes with similar complication rates and oncological outcomes in selected patients. This chapter reviews techniques used and available
-
The Philadelphia Shriners Hospital Approach to Brachial Plexus Birth Injury Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-07-14 Benjamin Gundlach, Scott H. Kozin, Dan A. Zlotolow, Eugene Park
The care of children with brachial plexus birth injuries (BPBI) is a complex multidisciplinary endeavor. At the Shriners Hospital for Children in Philadelphia, we have sought to elevate the quality of care delivered to patients through outcomes research and collaboration with colleagues around the world. Our approach to the management of this challenging pathology has evolved time and again. Here,
-
Permanent Brachial Plexus Birth Injury: Helsinki Shoulder Protocol Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-07-14 Petra Grahn, Tiina Pöyhiä, Yrjänä Nietosvaara
Passive shoulder exercises from birth and ultrasound screening from 3 to 12 months. Botox is given to shoulder internal rotators and a bracing commenced, if alpha-angle exceeds 30°, or passive shoulder external rotation is below 70 degrees. Plexus reconstruction is recommended to children with root avulsion(s) on magnetic resonance imaging or 3-month Toronto Test Score < 3.5. Specific neurotization
-
Detailed Management of Brachial Plexus Birth Injuries: The Miami Protocol at Nicklaus Children's Hospital Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-06-05 Aaron J. Berger, Yvette Elias, Cherise Medina, Nancy Quinn, Verena Schreiber, Enrique Alvarado-Burgos, Andrew Price, John AI Grossman
The management of children with brachial plexus birth injuries is complex and requires a multidisciplinary approach. In the following article, we describe our approach to evaluation and management at Nicklaus Children's Hospital. It is our aim is to elucidate nuances in management.
-
Birth Brachial Plexus Palsy: an Indian Perspective Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-04-18 Mukund R. Thatte, Harsh R. Shah, Amita Hiremath
Birth brachial plexus palsy (BBPP) is an unfortunate outcome of a difficult labor, which can often lead to long-lasting upper limb impairments. Spontaneous recovery may or may not occur. Timely diagnosis of the condition and initiation of the appropriate treatment can be instrumental in decreasing the functional impact. The management begins right from the day the child presents first and ranges from
-
Management of Brachial Plexus Birth Palsies: The Stanford Experience Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-03-27 Eugene Park, Paige M. Fox, Catherine Curtin, Vincent R. Hentz
The start of Stanford's brachial plexus birth palsy (BPBP) experience dates back to 1983, when Dr. Vincent Rod Hentz visited Dr. Alain Gilbert on sabbatical. Since then, our principles of care for patients with BPBP have evolved based on our group's longitudinal experience caring for children with the entire spectrum of sequelae that arise in children with BPBP. We base our clinical decision making
-
Complications in Head and Neck Reconstruction-Introduction. Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-02-09 Sameep P Kadakia,Sunishka M Wimalawansa
-
Chemoprophylaxis and Management of Venous Thromboembolism in Microvascular Surgery Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-02-09 Fatemeh Mirzamohammadi, Ogonna N. Nnamani Silva, Rebecca K. Leaf, Kyle R. Eberlin, Ian L. Valerio
This review aims to highlight the common pharmacological and nonpharmacological interventions utilized for thromboprophylaxis as well as flap salvage in microsurgery. A literature review was conducted in PubMed/National Center for Biotechnology Information, Scopus, Web of Science, and MEDLINE databases. Articles with a focus on thromboprophylaxis in microsurgical procedures spanning head and neck surgery
-
Flap Debulking and Secondary Revisions in Head and Neck Reconstruction: A Systematic Review with Clinical Applications Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-02-09 Olatunde H. Bashorun, R. Michael Johnson, Elise A. Johnson
Flap debulking and secondary revisions are an integral factor in providing optimum outcomes to reconstructive patients. This review article summarizes systematically the available literature on flap debulking in head and neck reconstruction. The clinical applications of debulking techniques are discussed, including fractional direct excision, liposuction, and single-stage excision or planning with
-
Complications in Surgical Reconstruction: My View. Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-02-09 William W Shockley
-
Sameep Kadakia, MD, FACS, and Sunishka M. Wimalawansa, MD, MBA. Semin. Plast. Surg. (IF 2.0) Pub Date : 2023-02-09 Edward P Buchanan
-
Managing Oromandibular Hardware Failure after Free Flap Surgery Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-30 Aaron M. Domack, Dustin A. Silverman, Alice L. Tang, Chad A. Zender, Yash J. Patil
Hardware failure after oromandibular reconstruction using free tissue transfer can delay additional therapies directed at cancer treatment and prevent patients from returning to normal oral function. Understanding and strict adherence to principles of rigid fixation is critical in preventing complications. Early surgical intervention for hardware exposure as well as utilization of locoregional flaps
-
Management of Palatal Defects after Free-Flap Reconstruction and Radiotherapy Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-22 Wesley McIlwain, Jared Inman, Arya Namin, Aasif Kazi, Christopher Shumrick, Yadranko Ducic
Palatal fistulas have significant effects on quality of life. Traditional prosthetic rehabilitation and surgical reconstruction of palate defects in radiation-naïve tissues are well described. However, palatal fistulas developing after initial tumor extirpation, free-flap reconstruction, and adjuvant radiation or chemoradiation are associated with challenging secondary tissue effects. In this review
-
Neopharyngeal Stricture following Laryngectomy Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-22
Stricture formation is a serious complication following pharyngeal reconstruction. These strictures can be life-threatening and can severely impact quality of life. In this article, the existing literature on surgical risk factors linked to neopharyngeal stricture formation is reviewed. Intraoperative preventative measures reconstructive surgeons should consider are also discussed. Finally, this article
-
Psychological Survivorship in Head and Neck Cancer Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-19 Ciaran Lane, Ryan C. Higgins, Neerav Goyal
Survivorship for head and neck cancer patients presents unique challenges related to the anatomic location of their disease. After treatment, patients often have functional impairments requiring additional care and support. In addition, patients may have psychological challenges managing the effect of the disease and treatment. Routine screening is recommended for the identification of psychological
-
Free Flap Donor-Site Complications and Management Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-19 Hunter Archibald, Joel Stanek, David Hamlar
Free flap harvest will occasionally result in donor-site complications and morbidity. Most of these complications are managed simply without producing lingering effects on activities of daily living. However, some patients will sustain limb weakness, gait issues, chronic pain, and nonhealing wounds. Frank preoperative discussion between surgeon and patient is essential to maximize postoperative outcome
-
Microsurgical Breast Reconstruction: Maximizing Success Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-19 Rudolf Buntic, Alexander Y. Li
Breast reconstruction is becoming increasingly recognized as a fundamental component in comprehensive breast cancer treatment. The primary goal for any reconstruction is to safely restore a natural appearing breast. When it comes to achieving the elements of size, shape, symmetry, and softness, the use of autologous tissue has many advantages. The approach to autologous breast reconstruction has changed
-
History of Microsurgery: The Legacy of Harry J. Buncke, MD Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-19 Gregory M. Buncke
A historical review of the history of Microsurgery including the important influence and contributions of Harry J. Buncke MD considered by many to be the “Father of Microsurgery”. An chronological list of Historic Replants and “Free Flap” and microvascular transplants is included. Those who lived through the age of the birth of this new surgical specialty were fortunate.
-
Negative Pressure Wound Therapy in the Head and Neck: A Summary of Uses and Application Techniques Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-13 Robert Michael Liebman, Krishna S. Hanubal, Peter T. Dziegielewski
Negative pressure wound therapy (NPWT) has had an expanded role in the management of complex wounds including its increasing use for complex wounds in the head and neck region. Challenges for use in the head and neck region include variations in surface topography and the proximity of sensitive mouth, nose, ear, eye, and tracheal openings. Despite these challenges, NPWT has been used in the head and
-
Virtual Planning and 3D Printing in Contemporary Orthognathic Surgery Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-14 Tulsi Roy, Derek M. Steinbacher
Orthognathic surgery is a powerful tool to improve facial balance, form, and function. Virtual planning and three-dimensional printing has improved our ability to visualize complex anatomy, consider various iterations and execute complex movements, and create accurate splints, plates, and cutting guides. This article will outline the distinct advantages of the use of virtual surgical planning over
-
Virtual Surgical Planning and Three-Dimensional Printing in Rhinoplasty Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-07 Alexandra Townsend, Oren M. Tepper
Recent developments in three-dimensional (3D) imaging technology offer a more comprehensive means of assessing facial features. 3D printing allows for the transition of planning from simply a preoperative tool to an intraoperative device with the use of tools such as 3D-printed cutting guides, marking guides, or positioning guides. With the advent of 3D printing technology, 3D surface images can now
-
Virtual Planning and 3D Printing in the Management of Acute Orbital Fractures and Post-Traumatic Deformities Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-07 Basel Sharaf, Daniel E. Leon, Lilly Wagner, Jonathan M. Morris, Cristina A. Salinas
Virtual surgical planning (VSP) and three-dimensional (3D) printing have advanced surgical reconstruction of orbital defects. Individualized 3D models of patients' orbital bony and soft tissues provide the surgeon with corrected orbital volume based on normalized anatomy, precise location of critical structures, and when needed a better visualization of the defect or altered anatomy that are paramount
-
Virtual Surgical Planning and 3D-Printed Surgical Guides in Facial Allotransplantation Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-07 Krishna Vyas, Marissa Suchyta, Waleed Gibreel, Jorys Martinez-Jorge, Uldis Bite, Basel A. Sharaf, Elizabeth A. Bradley, Hatem Amer, Karim Bakri, Samir Mardini
The complex three-dimensional (3D) anatomy in facial allotransplantation creates a unique challenge for surgical reconstruction. Evolution of virtual surgical planning (VSP) through computer-aided design and computer-aided manufacturing has advanced reconstructive outcomes for many craniomaxillofacial indications. Surgeons use VSP, 3D models, and surgical guides to analyze and to trial surgical approaches
-
Advances in Virtual Surgical Planning and Three-Dimensional Printing in Facial Reconstruction and Aesthetic Surgery. Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-07 Basel Sharaf,Samir Mardini
-
Establishing a Point-of-Care Virtual Planning and 3D Printing Program Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-07 Victoria A. Sears, Jonathan M. Morris
Virtual surgical planning (VSP) and three-dimensional (3D) printing have become a standard of care at our institution, transforming the surgical care of complex patients. Patient-specific, anatomic models and surgical guides are clinically used to improve multidisciplinary communication, presurgical planning, intraoperative guidance, and the patient informed consent. Recent innovations have allowed
-
Point of Care Virtual Surgical Planning and 3D Printing in Facial Feminization Surgery Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-07 Basel Sharaf, Doga Kuruoglu, Uldis Bite, Jonathan M. Morris
The use of virtual surgical planning (VSP) and three-dimensional printing (3DP) technologies in the routine facial feminization surgery practice has gained a significant popularity over the past few years. The clinical applications of them are claimed to improve safety, accuracy, and efficiency of facial feminization surgeries. In this article, we review and discuss the current applications of VSP
-
Samir Mardini, MD, and Basel Sharaf, MD, DDS, FACS. Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-07 Edward P Buchanan
-
Black Bone MRI for Virtual Surgical Planning in Craniomaxillofacial Surgery Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-07 Krishna S. Vyas, Marissa A. Suchyta, Christopher H. Hunt, Waleed Gibreel, Samir Mardini
Advances in computer-aided design and computer-aided manufacturing software have improved translational applications of virtual surgical planning (VSP) in craniomaxillofacial surgery, allowing for precise and accurate fabrication of cutting guides, stereolithographic models, and custom implants. High-resolution computed tomography (CT) imaging has traditionally been the gold standard imaging modality
-
Management of the Failing Flap Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-03 Allison A. Slijepcevic, Sara Yang, Daniel Petrisor, Srinivasa R. Chandra, Mark K. Wax
Free tissue transfer has become the reconstructive modality of choice for replacing composite tissue defects. While the success rate in high-volume centers is reported to be greater than 95%, up to 10% of patients will require revision of their vascular anastomosis secondary to thrombosis or compromise to flow. In the intraoperative setting, immediate revision is successful in the majority of cases
-
The Management of Salivary Fistulas Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-12-03 Alexandra Belcastro, William Reed, Liana Puscas
Postoperative salivary fistula is an especially undesirable complication because it can be difficult to address, may delay postoperative radiation, and always delays enteral nutrition. Patients who are malnourished, have already undergone radiotherapy, or are hypothyroid are at higher risk of developing this problem. Conservative measures work in most patients, but a significant percentage of patients
-
Great Toe Transplantation Semin. Plast. Surg. (IF 2.0) Pub Date : 2022-11-21
Despite being relatively uncommon in the general population, thumb amputations cause severe disability. More than 3,300 thumb amputations occurred in the United States. The thumb makes up around 40% of the function of the hand. Therefore, losing it would result in significant medical, hospital, and societal costs. Thumb reconstruction surgery's primary goal is to restore grip strength, including the