International Meetings and Symposia
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Announcements Source Type: research

ASPS/PSF Sponsored Symposia and Workshops
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Announcements Source Type: research

How Webinars Have Lit Residents’ Interest in Aesthetic Surgery during COVID-19
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

Initial Student Perspective on Plastic Surgery Virtual Away Rotations
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

Forward Triage in the COVID-19 Era: The Plastic Surgery Experience
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

Pulmonary Thromboembolism in a Patient with COVID-19 after Breast Reconstruction
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

The Impact of Hospital-Based Systems on Plastic Surgery Resident Education: Veterans Affairs Medical Centers versus Public County Hospitals
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

Implications of United States Medical Licensing Examination Step 1 Becoming Pass/Fail on the Integrated Plastic Surgery Match
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

Pharmacoplastic Surgery: Emerging Concepts
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

Yoga Breathing Exercises (Pranayama) Decrease Hand Microtremor in Young Microsurgeons: Toward a New Paradigm in Surgery
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

The Rise of Evidence in Microsurgical Practice
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

Mathematical Analysis of the Functions of Spreader Graft
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

The Utility of Diced Cartilage Fascia Graft Augmentation of the Nasal Dorsum in Transgender Feminizing Rhinoplasty
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

Reply: The Current State of Gender-Affirming Surgery Training in Plastic Surgery Residency Programs as Reported by Residency Program Directors
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Letters Source Type: research

Evolving Conceptions in Gender-Affirming Post-Graduate Training
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Letters Source Type: research

The Muscle-Sparing Descending Branch Latissimus Dorsi Free Flap for Lower Extremity Reconstruction
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Letters Source Type: research

Reply: Timing of Microsurgical Reconstruction in Lower Extremity Trauma: An Update of the Godina Paradigm
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Letters Source Type: research

Timing of Microsurgical Reconstruction in Lower Extremity Trauma: An Update of the Godina Paradigm
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Letters Source Type: research

Regional Patterns of Fluid and Fat Accumulation in Patients with Lower Extremity Lymphedema Using Magnetic Resonance Angiography
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Letters Source Type: research

Reply: Outcomes of DIEP Flap and Fluorescent Angiography: A Randomized Controlled Clinical Trial
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Letters Source Type: research

Outcomes of DIEP Flap and Fluorescent Angiography: A Randomized Controlled Clinical Trial
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Letters Source Type: research

Computer-Assisted Surgery Increases Efficiency of Mandibular Reconstruction with Fibula Free Flap
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Letters Source Type: research

Computer-Assisted versus Conventional Freehand Mandibular Reconstruction with Fibula Free Flap: A Systematic Review and Meta-Analysis
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Letters Source Type: research

Reply: Patient-Reported Satisfaction and Quality of Life in Obese Patients: A Comparison between Microsurgical and Prosthetic Implant Recipients
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Letters Source Type: research

Breast Reconstruction in Obese and Exobese Patients
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Letters Source Type: research

Discussion: The Questionable Role of Antibiotic Irrigation in Breast Augmentation: Correction
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Corrections Source Type: research

The New Reconstructive Ladder: Modifications to the Traditional Model: Correction
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Corrections Source Type: research

The Supercharged Pedicled Jejunal Flap for Total Esophageal Reconstruction: A Retrospective Review of 100 Cases: Correction
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Corrections Source Type: research

The Plastic Surgery Residency Interview Revisited: Virtual Interviews and Beyond
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Editorial Source Type: research

Telemedicine and Plastic and Reconstructive Surgery: Lessons from the COVID-19 Pandemic and Directions for the Future
Summary: Telemedicine holds vast amounts of potential in changing the way outpatient plastic and reconstructive surgery is practiced. Before the coronavirus disease 2019 (COVID-19) pandemic, video conferencing was used by a small fraction of medical specialties. However, since the start of the pandemic, the Centers for Medicare and Medicaid Services and the largest private health insurance companies have relaxed regulations to allow the majority of specialties to use video conferencing in lieu of in-person visits. Most importantly, video conferencing minimizes patient and physician exposure in situations such as these, a...
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Ideas and Innovations Source Type: research

The COVID-19 Pandemic: Crisis Management for Plastic Surgeons
This article outlines crisis management tools at a number of different levels, from hospital-wide to plastic surgeon–specific, and it offers a practical discussion of the coronavirus situation as it affects plastic surgeons. Although there are innumerable ways that this virus is currently changing plastic surgeons’ practices, it is crucial to remember that these changes are temporary, and they will be best met by being confronted head-on. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Business & Practice Management Source Type: research

Plastic Surgeons as Institutional Leaders
Conclusions: Despite possessing adequate qualifications, plastic surgeons are underrepresented in American health care institutional leadership roles. Aspiring plastic surgeon leaders should lean on their peer credibility and experience delivering patient-centered care to succeed in leadership roles. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Business & Practice Management Source Type: research

Discussion: Analysis of Alternative Metrics of Research Impact: A Correlation Comparison between Altmetric Attention Scores and Traditional Bibliometrics among Plastic Surgery Research
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Special Topics Source Type: research

Analysis of Alternative Metrics of Research Impact: A Correlation Comparison between Altmetric Attention Scores and Traditional Bibliometrics among Plastic Surgery Research
This study aims to determine whether there is any correlation between h-index and the Altmetric score in the plastic surgery literature. Methods: Article metrics (full-text views, abstract views, PDF downloads, times e-mailed, Altmetric Attention Score, times tweeted, and number of citations by posts) were extracted from articles published in Plastic and Reconstructive Surgery over a 2-year period. Author metrics, including h5-index, were also collected. Pairwise correlations were performed using Spearman’s rank correlation coefficient (r). Results: A total of 1668 articles were published, with 971 included. Al...
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Special Topics Source Type: research

The State of Plastic Surgery Education Outside of the Operating Room
Conclusions: These findings improve understanding of the current state of nonsurgical resident education in plastic surgery. They illustrate that residents participate in a diverse number of nonsurgical educational activities without any significant standardization. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Special Topics Source Type: research

Targeted Muscle Reinnervation as a Solution for Nerve Pain
Learning Objectives: After reading this article, the participants should be able to: 1. List current nonsurgical and surgical strategies for addressing postamputation neuroma pain and discuss their limitations. 2. Summarize the indications and rationale for targeted muscle reinnervation. 3. Develop an operative plan for targeted muscle reinnervation in an acute or delayed fashion for upper and lower extremity amputations. 4. Propose a management algorithm for treatment of symptomatic neuromas in an intact limb. 5. Discuss the risk of neuroma development after primary revision digital amputation or secondary surgery for a...
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: CME Source Type: research

Correlation between Venous Thromboembolism Risk and Venous Congestion in Microvascular Reconstruction of the Lower Extremity
Conclusion: In patients with significantly elevated Caprini Risk Assessment Model scores, there was no significant association between venous thromboembolism risk and flap failure following free tissue reconstruction of lower extremities. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, III. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Reconstructive: Lower Extremity: Original Articles Source Type: research

Dog Bites in the United States from 1971 to 2018: A Systematic Review of the Peer-Reviewed Literature
Conclusions: The authors’ results indicate that German Shepherd and Pit Bull–type breeds account for the largest subset of pure breeds implicated in severe dog bites inflicted on humans in the medical literature. The role and complexity of mentioning breed in relation to human injuries are also discussed. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Reconstructive: Trunk: Original Articles Source Type: research

Muscle Flap Closure following Complex Spine Surgery: A Decade of Experience
Conclusions: Immediate local muscle flap closure following complex spine surgery on high-risk patients is associated with an acceptable rate of wound complications and, as these data demonstrate, is safe and effective. Consideration should be given to immediate muscle flap closure in appropriately selected patients. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, III. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Reconstructive: Trunk: Original Articles Source Type: research

A Comprehensive, Evidence-Based Literature Review of the Surgical Treatment of Rectus Diastasis
Conclusions: Surgical repair of rectus diastasis is safe and effective through both open and laparoscopic approaches. Although suture type absorbability does not affect complication or recurrence rates, a double-layer suture closure can decrease surgical complications. The pooled analysis of complication and recurrence rates can help improve informed consent and patient education. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Reconstructive: Trunk: Original Articles Source Type: research

Using Artificial Intelligence to Measure Facial Expression following Facial Reanimation Surgery
This study evaluates the use of a machine learning technology to directly measure facial expression before and after facial reanimation surgery. Fifteen study subjects with facial palsy were evaluated both before and after undergoing cross-facial nerve grafting and free gracilis muscle transfer. Eight healthy volunteers were assessed for control comparison. Video footage of subjects with their face in repose and with a posed, closed-lip smile was obtained. The video data were then analyzed using the Noldus FaceReader software application to measure the relative proportions of seven cardinal facial expressions detected with...
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Reconstructive: Head and Neck: Ideas and Innovations Source Type: research

The Medial Sural Artery Perforator Flap: Lessons Learned from 200 Consecutive Cases
Conclusions: The medial sural artery perforator flap is a reliable, alternative workhorse flap for nearly any small- to medium-size defect. It can be harvested as free or pedicled and the option to include multiple tissue components further expands its versatility. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Reconstructive: Head and Neck: Original Articles Source Type: research

Perforator Mapping of the Profunda Artery Perforator Flap: Anatomy and Clinical Experience
Conclusions: Perforator mapping demonstrated consistent anatomical locations of sizeable profunda artery perforators in the inner thigh. Along with its consistent and robust vascular anatomy and minimal donor-site morbidity, the profunda artery perforator flap’s volume and pliability make it a reliable option for soft-tissue reconstruction. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Reconstructive: Head and Neck: Original Articles Source Type: research

Using Virtual Augmented Reality to Remotely Proctor Overseas Surgical Outreach: Building Long-Term International Capacity and Sustainability
Background: Cleft lip affects one in 700 children globally, and the prevalence far surpasses capacity to deliver cleft care in underresourced and endemic regions. A hands-on educational presence is needed to promote overseas surgical autonomy, build overseas capacity, and ensure a sustained clinical and educational infrastructure. The goal of this study was to build and assess an augmented reality educational platform that allows a remote yet virtual interactive presence to transfer cleft surgery knowledge/skills to overseas colleagues. Methods: A prospective study assessing a 13-month overseas augmented reality&ndash...
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Special Topic Source Type: research

Videoscope-Assisted Cleft Palate Surgery: Rationale, Experience, and Technical Implementation
Summary: Limited visibility characteristic of cleft palate repair presents both ergonomic and educational challenges to cleft surgeons. Despite widespread recognition and reporting, posture-related spine disorders continue to represent a significant and potentially career-limiting problem for cleft/craniofacial surgeons. In addition, education and participation during palate repairs is difficult because of visual field constraints. At the authors’ institution, a novel videoscope system was designed and implemented to (1) provide visualization for all surgical team members during palate operations, (2) facilitate ac...
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Ideas and Innovations Source Type: research

Orthognathic Hardware Complications in the Era of Patient-Specific Implants
Background: Patients undergoing orthognathic skeletal correction present with a variety of comorbidities that may affect surgical outcomes. The purpose of this study was to determine how patient risk factors and operative technique contribute to complication rates after orthognathic surgery in the era of patient-specific implants. Methods: Retrospective cohort analysis was conducted of pediatric patients undergoing Le Fort I osteotomy, bilateral sagittal split osteotomy, and/or genioplasty from 2014 to 2018. Patient risk factors, operative characteristics, and postoperative outcomes were gathered and compared with app...
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Tranexamic Acid in Infantile Craniosynostosis Surgery: Friend or Foe?
Background: Recent studies support the prophylactic use of tranexamic acid during craniosynostosis surgery to reduce blood loss. The study aims to assess national trends and outcomes of tranexamic acid administration. Methods: The Pediatric Health Information System database was used to identify patients who underwent craniosynostosis surgery over a 9-year period (2010 to 2018). Search criteria included patients younger than 2 years with a primary diagnosis of craniosynostosis (International Classification of Diseases, Ninth Revision, 756.0; International Classification of Diseases, Tenth Revision, Q75.0) and CPT code...
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Discussion: Long-Term Orthognathic Considerations in the Pierre Robin Sequence Patient
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Long-Term Orthognathic Considerations in the Pierre Robin Sequence Patient
In this study, the authors evaluated the orthognathic surgery requirements for Pierre Robin sequence patients at skeletal maturity. Methods: Orthognathic surgical requirements of conservatively managed Pierre Robin sequence and isolated cleft patients (aged ≥13 years) at two institutions were reviewed and analyzed using t test, chi-square test, and Fisher’s exact test. Values of p (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Discussion: Sleep Outcomes in Neonates with Pierre Robin Sequence Undergoing External Mandibular Distraction: A Longitudinal Analysis
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 27, 2020 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research