Procedural Trends in Medicare Reimbursement and Utilization for Breast Reconstruction: 2000–2019
Conclusions
There has been a steady yet substantial decline in Medicare reimbursement for the majority of breast reconstruction procedures over the last 20 years. Given increasing medical costs and the financial uncertainty of the US health care system, an understanding of Medicare reimbursement trends is vital for policymakers, administrators, and physicians to develop agreeable reimbursement models that facilitate growth and economic vitality of breast reconstruction in the United States. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research
A Case for the Use of the 5-Item Modified Frailty Index in Preoperative Risk Assessment for Tissue Expander Placement in Breast Reconstruction
This study sought to evaluate the performance of the mFI-5 as a predictor of postoperative complications after tissue expander placement.
Methods
Patients who underwent placement of a tissue expander were identified using the 2012 to 2018 American College of Surgeons National Surgical Quality Improvement Project database. Univariate and multivariate regression analysis models were used to assess how mFI-5, the components of the mFI-5 (functional status, diabetes, chronic obstructive pulmonary disease, chronic heart failure, and hypertension), and other factors commonly used to risk stratify (age, body mass index [BM...
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research
Three-Dimensional Z-Epicanthoplasty Retains the Depth of the Medial Canthus With Scars That Are Less Visible
Conclusions
This method could not only correct the epicanthal fold effectively with scars that are less visible but also maintain the depth of the medial canthus and make the appearance of the eye look more natural. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research
To Decline or Accept: A Guide for Determining the Legitimacy of Academic Conference Invitations
Importance
After the rise of predatory journals characterized by false claims of legitimacy and a pay-to-publish model, similar “predatory conferences” have become increasingly common. The email inbox of an academic physician can be filled with daily announcements encouraging conference attendance, abstract submission, and often panel or keynote speaker invitations. It therefore becomes important for the plastic surgeon to be able to discern whether these invitations are from “predatory” conferences or legitimate career advancement opportunities, especially early in practice.
Objective
To aid the invited...
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Circumspectus Medicinae Source Type: research
Nationwide Resident Access to Elective Rotations: A Survey Study
Conclusion
The primary goal of plastic surgery training programs is to produce plastic surgeons of the highest caliber with regard to safety and competence. Although several regulatory bodies ensure that programs adhere to a similar standard, not all programs have opportunities for residents to experience the breadth of our multifaceted specialty. Elective rotations constitute an excellent supplement to a well-rounded training where gaps may exist. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Circumspectus Medicinae Source Type: research
Some Thoughts on the Ethics of Last-Minute Editing
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Editorial Source Type: research
Invited Commentary from the authors of: Han Y, et al. Free Medial Plantar Flap Versus Free Dorsal Myocutaneous Flap for the Reconstruction of Traumatic Foot Sole Defects
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 1, 2022 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research
Letter to the Editor: Comment on Han Y, et al. Free Medial Plantar Flap Versus Free Dorsal Myocutaneous Flap for the Reconstruction of Traumatic Foot Sole Defects (Ann Plast Surg. 2020;84:S178–S185)
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 1, 2022 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research
Takotsubo Syndrome in the Perioperative Period: A Case Report and a Comprehensive Review of Pertinent Literature
Stress-induced cardiomyopathy or takotsubo syndrome is a rare, nonischemic, heart condition resembling that of an acute coronary syndrome. Its distinctive feature is a transient wall motion abnormality occurring usually at the apical segment of the heart, with the degree of symptom manifestation and severity varying among patients. Although early data were supportive of a benign sequela and outcome, high degree of adverse events, such as acute heart failure and pulmonary edema, are anticipated, and the mortality rate approaches 5%. Hyperactivation of the sympathetic nervous system and adrenergic drugs have been pointed out...
Source: Annals of Plastic Surgery - June 1, 2022 Category: Cosmetic Surgery Tags: Review Paper Source Type: research
A Comprehensive Review on the Supraclavicular Flap for Head and Neck Reconstruction
The supraclavicular artery flap (SCF) is a highly vascularized fasciocutaneous flap overlying the shoulder. The flap was first described in 1979 by Lamberty but did not gain popularity until much later due to lack of a reliable technique. The main advantages of using the SCF include avoiding microsurgical techniques, requiring only a single-stage operation, shorter operative time compared with alternative options, and a wider patient population including those with comorbidities who may be excluded from more extensive operations including free flaps surgeries. The SCF has been successfully performed on individuals with adv...
Source: Annals of Plastic Surgery - June 1, 2022 Category: Cosmetic Surgery Tags: Review Paper Source Type: research
Techniques and Trends of Facial Feminization Surgery: A Systematic Review and Representative Case Report
Conclusions
Facial feminization surgery seems to be safe, whether it is conducted in a single stage or as a staged procedure. Patients report high satisfaction and better gender congruency after facial feminization procedures. Further research is needed to establish best surgical practice and gauge patient satisfaction beyond the length of average follow-up and determine the frequency with which adjunctive procedures are sought out. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 1, 2022 Category: Cosmetic Surgery Tags: Review Paper Source Type: research
The Failed Breast Implant in Postmastectomy Reconstruction: A Systematic Literature Review of Complications of Implant-Based Breast Reconstruction
Conclusions
High complication and failure rates are associated with implant-based breast reconstruction. Lacking randomized controlled trials, the choice between implant-based and autologous breast reconstruction has to be made individually for each patient. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 1, 2022 Category: Cosmetic Surgery Tags: Review Paper Source Type: research
Corneal Neurotization: A Meta-analysis of Outcomes and Patient Selection Factors
Background
Corneal neurotization describes reinnervation of the anesthetic or severely hypoesthetic cornea with a healthy local nerve or graft. Preliminary evidence has shown corneal neurotization to improve corneal sensation, visual acuity, and ocular surface health. Factors that improve patient selection and lead to better neurotization outcomes have yet to be elucidated, limiting ability to optimize perioperative decision-making guidelines.
Methods
A systematic review with meta-analysis was performed of the MEDLINE and Embase databases using variations of “corneal,” “nerve transfer,” “neurotization,...
Source: Annals of Plastic Surgery - June 1, 2022 Category: Cosmetic Surgery Tags: Review Paper Source Type: research
Microsurgical Techniques and Postoperative Outcomes After Total and Subtotal Nasal Reconstruction: A Systematic Review
Conclusions
The auricular helical and radial forearm flaps represent the most used free flaps for total and/or subtotal nasal defects with satisfactory patient outcomes. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 1, 2022 Category: Cosmetic Surgery Tags: Review Paper Source Type: research
Artery Reconstruction in Right Lobe Living Donor Liver Transplantation: Donor-Recipient Vessel Ratio Is Key to Choosing Recipient Artery
Conclusions
Although left hepatic artery's anatomical position makes it less affected by bile duct anastomosis and thus fewer postoperative complications, we believe that the ratio of the donor-recipient blood vessel size and the length of the anastomosis vessel stumps are the key factors that affect the outcome of the vascular anastomosis. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 1, 2022 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research
