Vascularized Rib Bone Grafting: Indications, Techniques, and Clinical Outcomes
Semin Plast Surg 2021; 35: 031-036 DOI: 10.1055/s-0041-1725985Pseudarthrosis is a difficult complication often seen in patients with complex spinal pathology. To supplement existing neurosurgical approaches to cervicothoracic spinal instrumentation and fusion, novel vascularized rib bone grafts can be utilized in patients at high risk for failed spinal fusion. In this article, we discuss the indications, benefits, surgical technique, feasibility, and limitations of using rib vascularized rib bone grafts to augment spinal fusion. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAAr...
Source: Seminars in Plastic Surgery - May 10, 2021 Category: Cosmetic Surgery Authors: Winocour, Sebastian J. Agrawal, Nikhil Wagner, Kathryn M. Davis, Matthew J. Abu-Ghname, Amjed Shekher, Rohil Raber, Michael R. Bohl, Michael A. Ropper, Alexander E. Reece, Edward M. Tags: Review Article Source Type: research
Vascularized Scapular Bone Grafting: Indications, Techniques, Clinical Outcomes, and Alternatives
Semin Plast Surg 2021; 35: 025-030 DOI: 10.1055/s-0041-1723833Spinal fusion can be challenging to obtain in patients with complex spinal pathology. Medial scapular vascularized bone grafts (S-VBGs) are a novel approach to supplement cervicothoracic arthrodesis in patients at high risk of failed spinal fusion. In this article, we discuss the benefits of using VBGs compared with both nonvascularized bone grafts and free vascularized bone flaps and the surgical technique, feasibility, and limitations specific to the S-VBG. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in ...
Source: Seminars in Plastic Surgery - May 10, 2021 Category: Cosmetic Surgery Authors: Reece, Edward M. O'Neill, Rebecca C. Davis, Matthew J. Abu-Ghname, Amjed Ropper, Alexander E. Bohl, Michael Xu, David S. Winocour, Sebastian J. Tags: Review Article Source Type: research
Failures in Thoracic Spinal Fusions and Their Management
Semin Plast Surg 2021; 35: 020-024 DOI: 10.1055/s-0041-1723832Instrumented fixation and fusion of the thoracic spine present distinct challenges and complications including pseudarthrosis and junctional kyphosis. When complications arise, morbidity to the patient can be significant, involving neurologic injury, failure of instrumentation constructs, as well as iatrogenic spinal deformity. Causes of fusion failure are multifactorial, and incompletely understood. Most likely, a diverse set of biomechanical and biologic factors are at the heart of failures. Revision surgery for thoracic fusion failures is complex and often re...
Source: Seminars in Plastic Surgery - May 10, 2021 Category: Cosmetic Surgery Authors: Prablek, Marc McGinnis, John Winocour, Sebastian J. Reece, Edward M. Kakarla, Udaya K. Raber, Michael Ropper, Alexander E. Xu, David S. Tags: Review Article Source Type: research
Vascularized Occipital Bone Grafting: Indications, Techniques, Clinical Outcomes, and Alternatives
Semin Plast Surg 2021; 35: 014-019 DOI: 10.1055/s-0041-1723834Successful arthrodesis at the craniocervical junction and atlantoaxial joint can be more challenging than in other segments of the cervical spine. Different techniques for spinal fixation in this region have been well described, along with auxiliary methods to improve fusion rates. The occipital vascularized bone graft is a novel technique that can be used to augment bony arthrodesis in the supra-axial cervical spine. It provides the benefits of a vascularized autologous graft, such as accelerated healing, earlier fusion, and increased strength. This technique c...
Source: Seminars in Plastic Surgery - May 10, 2021 Category: Cosmetic Surgery Authors: Winocour, Sebastian J. Xue, Erica Y. Bohl, Michael A. Farrokhi, Farrokh Davis, Matthew J. Abu-Ghname, Amjed Ropper, Alexander E. Reece, Edward M. Tags: Review Article Source Type: research
Failure in Cervical Spinal Fusion and Current Management Modalities
Semin Plast Surg 2021; 35: 010-013 DOI: 10.1055/s-0041-1722853Failed fusion in the cervical spine is a multifactorial problem stemming from a combination of patient and surgical factors. Patient-related risk factors such as steroid use, poor bone quality, and smoking can be optimized preoperatively. Age, prior radiation, prior surgery, and underlying genetics are nonmodifiable patient-centered risk factors. Surgical risks for failed fusion include the number of segments fused, anterior versus posterior approach for fusion, the type of bone graft, and the instrumentation utilized. Many symptomatic cases of failed fusion (ps...
Source: Seminars in Plastic Surgery - May 10, 2021 Category: Cosmetic Surgery Authors: Verla, Terence Xu, David S. Davis, Matthew J. Reece, Edward M. Kelly, Michelle Nunez, Mervin Winocour, Sebastian J. Ropper, Alexander E. Tags: Review Article Source Type: research
The Historical Role of the Plastic Surgeon in Spine Reconstruction
Semin Plast Surg 2021; 35: 003-009 DOI: 10.1055/s-0041-1722852Wound complications occur in up to 19% of patients undergoing complex spine surgery. The role of the plastic surgeon in complex and redo spine surgery is important and evolving. Classically, plastic surgeons have been involved in the management of patients who develop wound complications following surgery. This involves reconstruction of posterior trunk defects with locoregional fasciocutaneous, muscle, and free tissue transfers. There has also been an increasing role for plastic surgeons to become involved in prophylactic closures of complex and/or redo spine s...
Source: Seminars in Plastic Surgery - May 10, 2021 Category: Cosmetic Surgery Authors: Do, Annie Davis, Matthew J. Abu-Ghname, Amjed Winocour, Sebastian J. Reece, Edward M. Holmes, Scott Xu, David S. Ropper, Alexander E. Hansen, Scott L. Tags: Review Article Source Type: research
Spino-Plastic Reconstruction
Semin Plast Surg 2021; 35: 002-002 DOI: 10.1055/s-0041-1725141 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - May 10, 2021 Category: Cosmetic Surgery Authors: Reece, Edward M. Tags: Preface Source Type: research
Introduction to the Guest Editor
Semin Plast Surg 2021; 35: 001-001 DOI: 10.1055/s-0041-1725142 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - May 10, 2021 Category: Cosmetic Surgery Authors: Buchanan, Edward P. Tags: Introduction to the Guest Editor Source Type: research
Flap Failure and Salvage in Head and Neck Reconstruction
Semin Plast Surg 2020; 34: 314-320 DOI: 10.1055/s-0040-1721766With advanced head and neck ablative surgery comes the challenge to find an ideal reconstructive option that will optimize functional and aesthetic outcomes. Contemporary microvascular reconstructive surgery with free tissue transfer has become the standard for complex head and neck reconstruction. With continued refinements in surgical techniques, larger surgical volumes, and technological advancements, free flap success rates have exceeded 95%. Despite these high success rates, postoperative flap loss is a feared complication requiring the surgeon to be aware ...
Source: Seminars in Plastic Surgery - December 24, 2020 Category: Cosmetic Surgery Authors: Wang, Weitao Ong, Adrian Vincent, Aurora G. Shokri, Tom Scott, Britney Ducic, Yadranko Tags: Review Article Source Type: research
Paradigms in Complex Facial Scar Management
Semin Plast Surg 2020; 34: 305-313 DOI: 10.1055/s-0040-1721768The process of scar formation is a sequela of the healing following soft tissue injury extending to, or through, the reticular dermis. Scars, within the head and neck in particular, may be physically disfiguring with resultant psychosocial implications. Mitigation of excessive scar formation during the healing process following surgery, or in the setting of trauma, begins with meticulous soft tissue handling and reconstructive technique. The reconstructive surgeon's armamentarium must therefore include techniques that minimize initial scar formation and revision...
Source: Seminars in Plastic Surgery - December 24, 2020 Category: Cosmetic Surgery Authors: Shokri, Tom Smith, Jesse Ducic, Yadranko Tags: Review Article Source Type: research
Fistula Management in Head and Neck Cancer
Semin Plast Surg 2020; 34: 299-304 DOI: 10.1055/s-0040-1721825Fistulas in head and neck cancer patients are a common and challenging issue. Despite their commonality, there is little consensus regarding optimal treatment strategies or in preventative measures that might be taken preoperatively. A general knowledge and understanding of what factors correlate with fistula formation can assist a surgeon in optimizing a patient for surgery, thus decreasing prevalence. In addition, surgical techniques can aid in both the prevention and treatment of fistulas once they form. This review details risk factors for fistula formation,...
Source: Seminars in Plastic Surgery - December 24, 2020 Category: Cosmetic Surgery Authors: Sanchez, Anthony Frank, Ethan Inman, Jared Wang, Weitao Namin, Arya Ducic, Yadranko Tags: Review Article Source Type: research
Regional Salvage Flap Options in Head and Neck Reconstruction
Semin Plast Surg 2020; 34: 293-298 DOI: 10.1055/s-0040-1721767Microvascular free tissue transfer is the standard in the complex head and neck reconstruction with success rates greater than 95%. Free tissue transfer allows for more versatility in reconstructing complex defects with better tissue match. Failures, however, do occur and subsequent free tissue transfer might not be an option due to either the patients' health or in a vessel depleted neck. In these challenging salvage scenarios, the head and neck reconstructive surgeon must turn to regional flaps for reconstruction. Here, we review multiple regional flap options...
Source: Seminars in Plastic Surgery - December 24, 2020 Category: Cosmetic Surgery Authors: Correia, Camil Wang, Weitao Vincent, Aurora G. Chan, David Ducic, Yadranko Tags: Review Article Source Type: research
Complications in Skull Base Surgery and Subsequent Repair
Semin Plast Surg 2020; 34: 286-292 DOI: 10.1055/s-0040-1721765Over the past several decades, endoscopic sinus surgery has revolutionized the approach to skull base surgery. Open skull base approaches remain a viable option for advanced skull base tumors. Complications have gone down with increased reliability of vascularized tissue transfer. In this article, the authors explore the various complications that can present following skull base surgery and review the approaches for repair when such issues are encountered. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Th...
Source: Seminars in Plastic Surgery - December 24, 2020 Category: Cosmetic Surgery Authors: Wang, Weitao Shokri, Tom Manolidis, Spiros Ducic, Yadranko Tags: Review Article Source Type: research
Modern Management of Facial Nerve Disorders
This article provides an overview of the current management of facial paralysis. Medical, surgical, and physical treatment options are discussed with a review of the relevant literature. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - December 24, 2020 Category: Cosmetic Surgery Authors: Shokri, Tom Azizzadeh, Babak Ducic, Yadranko Tags: Review Article Source Type: research
Complications in Facial Esthetic Surgery
This article is meant as a general overview and introduction to potential complications surgeons may encounter, interested readers are encouraged to further review comprehensive subspecialty literature for more detailed discussion. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - December 24, 2020 Category: Cosmetic Surgery Authors: Namin, Arya Shokri, Tom Vincent, Aurora Saman, Masoud Ducic, Yadranko Tags: Review Article Source Type: research
