International Meetings and Symposia
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 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 - March 1, 2021 Category: Cosmetic Surgery Tags: Announcements Source Type: research

Hyperlinked Dynamic Standard Operating Procedures for Ensuring Team Safety during the COVID-19 Pandemic
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

Can Tranexamic Acid Be Safely Administered during Microsurgery in the Era of COVID-19?
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

Reconstruction 2.0: Restructuring the Reconstructive Ladder
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

The Sensory Collateral Nerve-Pull Technique: A Viable Maneuver to Aid Harvesting the Pedicle of the Moschella Flap
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

Is It Possible to Measure the Amount of the SMAS Face Lift According to Facial Vectors?
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

The Evolving Doctor-Patient Relationship: The More Things Change, the More They Stay the Same!
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Letters Source Type: research

Mentors, Leaders, and Role Models: Same or Different?
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Letters Source Type: research

Reply: Computer-Aided Design and Manufacturing Cutting and Drilling Guides with Prebent Titanium Plates Improve Surgical Accuracy of Skeletal Class III Malocclusion
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Letters Source Type: research

Computer-Aided Design and Manufacturing Cutting and Drilling Guides with Prebent Titanium Plates Improve Surgical Accuracy of Skeletal Class III Malocclusion
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Letters Source Type: research

Reply: Discussion: Spare Roof Technique: A New Technique for Hump Removal—The Step-by-Step Guide
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Letters Source Type: research

Discussion: Spare Roof Technique: A New Technique for Hump Removal—The Step-by-Step Guide
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Letters Source Type: research

Reply: Dual-Plane versus Prepectoral Breast Reconstruction in High–Body Mass Index Patients
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Letters Source Type: research

Dual-Plane versus Prepectoral Breast Reconstruction in High–Body Mass Index Patients
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Letters Source Type: research

Pectoralis Major Median Myotomy: The Median Cut
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Letters Source Type: research

Reply: Deconstructing the Reconstruction: Evaluation of Process and Efficiency in Deep Inferior Epigastric Perforator Flaps
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Letters Source Type: research

Deconstructing the Reconstruction: Evaluation of Process and Efficiency in Deep Inferior Epigastric Perforator Flaps
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 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 - March 1, 2021 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 - March 1, 2021 Category: Cosmetic Surgery Tags: Letters Source Type: research

A Sequence in Recipient-Site Selection in Stacked Free Flap Breast Reconstruction: Cranial and Caudal Internal Mammary Vessels prior to Other Alternatives
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Letters Source Type: research

Reply: Direct-to-Implant Breast Reconstruction with Simultaneous Nipple-Sparing Mastopexy Utilizing an Inferiorly Based Adipodermal Flap: Our Experience with Prepectoral and Subpectoral Techniques
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Letters Source Type: research

Direct-to-Implant Breast Reconstruction with Simultaneous Nipple-Sparing Mastopexy Utilizing an Inferiorly Based Adipodermal Flap: Our Experience with Prepectoral and Subpectoral Techniques
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Letters Source Type: research

South Asian Women: The Unexpected Minority in Plastic Surgery
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Editorials Source Type: research

75th Anniversary: The Changing Face of Patient Safety in Plastic and Reconstructive Surgery
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Editorials Source Type: research

Plastic and Reconstructive Surgery and the Evolution of Cosmetic Surgery Education
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Editorials Source Type: research

Insurance Status and Disparities in Outpatient Care after Traumatic Injuries of the Hand: A Retrospective Cohort Study
Background: Hand-injured patients seen in the emergency department can often be followed as outpatients for definitive care and rehabilitation. Many face barriers to continuing care in the outpatient setting that impact quality of care delivery. The authors aimed to evaluate patterns of outpatient follow-up after initial emergency department evaluation of traumatic hand injuries, identify factors associated with poor follow-up, and suggest areas for improvement. Methods: In this retrospective cohort study, the authors reviewed records of adult patients with acute hand injuries referred for outpatient follow-up a...
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Business & Practice Management Source Type: research

Optimizing Throughput in Clinical Practice: Lean Management and Efficient Care in Plastic and Reconstructive Surgery
Background: As the cost of health care continues to rise, the role of medical providers has evolved to include the duties of an operations manager. Two theories of operations management can be readily applied to health care—lean management, the process of identifying and eliminating waste; and Little’s law, the idea that throughput is maximized by changing the capacity to host patients or the time they spend in the system. Equipped with theories of operations management, providers are better able to identify and address flow limitations in their own practices. Methods: Operations flow data were colle...
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Business & Practice Management Source Type: research

Are You Ready to Negotiate Your First Employment Contract? Experience of More Than 700 Plastic Surgeons
Background: Plastic surgeons have been shown to be unprepared to negotiate their first employment contracts. Previous survey studies have attempted to assess plastic surgeons’ first employment contracts to outline common pitfalls in contract negotiation. With this study, the authors aim to expand these previous studies and help plastic surgeons become prepared to negotiate their employment contracts. Methods: A seven-question, cross-sectional survey was sent to attending-level surgeon members of the California Society of Plastic Surgeons, the American Society of Plastic Surgeons, the Texas Society of Plast...
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Business & Practice Management Source Type: research

Linear Modeling to Reduce Bias in Plastic Surgery Residency Selection
Conclusions: This article presents the first known instance of the use of linear modeling to improve consistency, increase fairness, and decrease bias in the plastic surgery residency selection process. Transparent sharing of methodology may be useful to other programs seeking to optimize their own ranking methodology. Furthermore, it indicates to applicants that they are being evaluated based on fair, quantifiable criteria. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Special Topics Source Type: research

A Systematic Review of Health Disparities Research in Plastic Surgery
Conclusions: Investigators suggested several avenues for reducing health disparities in plastic surgery, yet there is limited evidence on the actual effectiveness of equity-oriented initiatives. More comprehensive research is needed to disentangle the patient, provider, and system-level factors that underlie inequity across subspecialties. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Special Topics Source Type: research

Discussion: Women in Leadership and Their Influence on the Gender Diversity of Academic Plastic Surgery Programs
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Special Topics Source Type: research

Women in Leadership and Their Influence on the Gender Diversity of Academic Plastic Surgery Programs
Conclusions: Women in leadership and gender diversity influence the composition of academic plastic surgery programs. Gender disparity exists at all levels, worsening up the academic ladder. Recruitment, retention, and promotion of women is critical, as such diversity is required for continued progress in innovation and problem-solving within plastic surgery. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Special Topics Source Type: research

Discussion: Variation in Payment per Work Relative Value Unit for Breast Reconstruction and Nonbreast Microsurgical Reconstruction: An All-Payer Claims Database Analysis
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Special Topics Source Type: research

Variation in Payment per Work Relative Value Unit for Breast Reconstruction and Nonbreast Microsurgical Reconstruction: An All-Payer Claims Database Analysis
This study aimed to characterize payment per work relative value unit for common breast and nonbreast microsurgical procedures. Methods: The Massachusetts All-Payer Claims Database was queried from 2010 to 2014 for Current Procedural Terminology (CPT) codes related to microsurgical and breast reconstruction. International Classification of Diseases codes were further used to categorize procedures by anatomical region, including head and neck, breast, trunk, and extremities. Physician payments, both commercial and governmental, were aggregated by anatomical region and CPT code. Payment distributions were described wi...
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Special Topics Source Type: research

New Developments in the Management of Cutaneous Squamous Cell Carcinoma
Learning Objectives: After studying this article, the participant should be able to: 1. List important prognostic features that affect cutaneous squamous cell carcinoma risk. 2. Summarize the changes to the AJCC Cancer Staging Manual, Eighth Edition, staging system for cutaneous squamous cell carcinoma. 3. Evaluate the draining nodal basin with appropriate imaging modalities. 4. Recommend adjuvant radiation therapy in the correct clinical setting for high-risk tumors. 5. Recognize the currently available treatments for advanced cutaneous squamous cell carcinoma. Summary: This continuing medical education article...
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: CME Source Type: research

Plastic Surgical Management of Hidradenitis Suppurativa
Learning Objectives: After studying this article, the participant should be able to: 1. Describe the pathogenesis of hidradenitis suppurativa. 2. Discuss perioperative multimodal therapy of hidradenitis suppurativa, including medical optimization. 3. Determine an appropriate surgical plan with excision and reconstruction based on hidradenitis suppurativa severity, size, and anatomical location. Summary: Successful treatment of hidradenitis suppurativa requires a multidisciplinary team approach and multimodal therapy. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: CME Source Type: research

Subdermal Dissection for Elevation of Pure Skin Perforator Flaps and Superthin Flaps: The Dermis as a Landmark for the Most Superficial Dissection Plane
Conclusion: The subdermal elevation technique allows straightforward and direct elevation of a pure skin perforator or superthin flap within 30 minutes on average without the necessity of primary thinning. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Reconstructive: Lower Extremity: Original Articles Source Type: research

Amputation versus Free Flap: Long-Term Outcomes of Microsurgical Limb Salvage and Risk Factors for Amputation in the Diabetic Population
Conclusions: Multiple comorbidities and poor glucose control were identified as risk factors for amputation after free flap limb salvage. However, successful limb preservation is possible. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, III. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Reconstructive: Lower Extremity: Original Articles Source Type: research

A Safer Way to Harvest a Superthin Perforator Flap
This study presents the outlined technique performed in 16 patients with complex soft-tissue defects after trauma or tumor ablation. All of them underwent primary reconstruction using superthin anterolateral thigh perforator free flaps by superficial fascia elevation harvested according to the described surgical procedure. Complications and functional outcomes were assessed. The authors’ series of anterolateral thigh perforator superthin flaps demonstrated an overall 100 percent survival rate. Of 16 anterolateral thigh perforators, 12 (75 percent) had no complications and four (25 percent) had minor complications. No...
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Reconstructive: Trunk: Ideas and Innovations Source Type: research

Free Flap Reconstruction of Posterior Trunk Soft-Tissue Defects: Single-Institution Experience and Systematic Literature Review
Conclusions: In this study, the authors provided a systematic literature review and described their own long-term institutional experience with these rare and difficult reconstructions. Although the overall complication rate is high, these reconstructions are frequently necessary, and an algorithmic approach can improve outcomes. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Reconstructive: Trunk: Original Articles Source Type: research

Dynamic Maxillary Sinus Changes of Facial Vascularized Composite Allotransplants
Summary: Skin is one of the target tissues of rejection in face transplants and, because of its easy accessibility, has become the gold standard in the diagnosis of rejection. The allograft contains deeper tissues where rejection can occur, but samples cannot be obtained because of difficult access. Deep tissue changes were monitored on computed tomographic scans of the midface in six face transplant recipients with the help of image segmentation. The maxillary sinus was identified as a dynamic anatomical compartment. Observed changes in volume of the aeration relative to the opacification (aeration coefficient) of the...
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Reconstructive: Head and Neck: Ideas and Innovations Source Type: research

The Effect of Depressor Anguli Oris Muscle Block on Facial Symmetry in Synkinetic Facial Paralysis Patients and Its Role in Preoperative Assessment
Background: Depressor anguli oris muscle hypertonicity in synkinetic facial paralysis patients may have an overpowering antagonistic effect on facial symmetry. Depressor anguli oris muscle block is a crucial diagnostic test before any treatment planning. Presented is the largest patient cohort analysis to date on static and dynamic facial symmetry changes after depressor anguli oris muscle block. Methods: Unilateral synkinetic patients with depressor anguli oris muscle hypertonicity were included. Resting symmetry and smile modiolus angle, excursion, and exposure of teeth were measured on both synkinetic and hea...
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Reconstructive: Head and Neck: Original Articles Source Type: research

Discussion: The Effect of Functional Nasal Surgery on Olfactory Function
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Reconstructive: Head and Neck: Original Articles Source Type: research

The Effect of Functional Nasal Surgery on Olfactory Function
Background: Functional and aesthetic nasal operations are some of the most common plastic surgery procedures performed in the United States. The purpose of the study was to evaluate the effects of septoplasty, septorhinoplasty, and rhinoplasty procedures on postoperative olfactory function and their relationship to nasal airflow and quality of life. Methods: A systematic review and meta-analysis was performed evaluating olfactory function following nasal surgery. Preoperative and postoperative values for olfaction, nasal airflow, and quality of life/nasal symptoms were analyzed. The effect size was calculated fr...
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Reconstructive: Head and Neck: Original Articles Source Type: research

Modified Unilateral Incomplete Cleft Lip Repair with Primary Nasal Overcorrection: A Muscle-Driven Technique
This article highlights the 10 key steps for execution of a modified unilateral incomplete cleft lip repair using the rotation-advancement principle plus the “skin-follows-muscle” model. The intraoperative design and the reconstruction of the skin, muscle, vermilion, intraoral mucosal, and nasal elements are fully detailed in the accompanying videos. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Video Source Type: research

Time-Driven, Activity-Based Costing of Presurgical Infant Orthopedics: A Critical Component of Establishing Value of Latham Appliance and Nasoalveolar Molding
Conclusions: The major difference in cost is attributable to operative placement of the Latham device. Travel cost for nasoalveolar molding is often higher because of frequent clinical encounters required. Future investigation should focus on whether outcomes achieved by presurgical infant orthopedics justify the $2100 to $8900 expenditure for these adjunctive procedures. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Opioid Use among Adolescents Undergoing Surgical Repair of Facial Trauma
Conclusions: Nearly one in 12 adolescents met criteria for prolonged opioid use; nearly one in four received a potentially inappropriate opioid prescription. Significant risk factors included mandible fracture, older age, multiple comorbidities, and multiple fractures. Like adults, many adolescents are at high risk for potentially inappropriate opioid prescriptions and prolonged opioid use following surgical repair. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, III. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Three-Dimensional Treatment Outcomes of a Virtual Helmet Design Protocol for Sagittal Strip Craniectomy
This study compares three-dimensional head shape outcomes obtained from a novel virtual helmet design and from a traditional helmet design. Methods: Twenty-four patients underwent extended sagittal strip craniectomy performed by a single surgeon and helmet management performed by a single orthotist. Eleven patients constitute the traditional helmet group, with helmet design based on laser scans. Thirteen patients constitute the virtual helmet group, with helmet design based on an overlay of a three-dimensional volume rendering of a low-radiation protocol computed tomographic scan and three-dimensional photograph. Ce...
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Discussion: Robin Sequence: 5-Year Speech Outcomes—A Case-Control Study
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 1, 2021 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research