Perioperative Opioid-Related Harms: Opportunities to Minimize Risk
Semin Plast Surg DOI: 10.1055/s-0043-1778043Although 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 for acute pain management and commonly prescribed for postoperative pain. However, failure to align prescribing with patient need can result in overprescribing and exacerbate the flow o...
Source: Seminars in Plastic Surgery - February 18, 2024 Category: Cosmetic Surgery Authors: Alessio-Bilowus, Dominic Luby, Alexandra O. Cooley, Samantha Evilsizer, Sarah Seese, Elizabeth Bicket, Mark Waljee, Jennifer F. Tags: Review Article Source Type: research
Ethical Principles in Plastic Surgery Research
This article provides a review of these principles and the historical context from which they were derived and explores the persistent challenges and cognitive biases that can increase susceptibility to unethical research practices. [...] 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 - February 8, 2024 Category: Cosmetic Surgery Authors: Prescher, Hannes Vercler, Christian J. Tags: Review Article Source Type: research
Merging Humans and Neuroprosthetics through Regenerative Peripheral Nerve Interfaces
Semin Plast Surg DOI: 10.1055/s-0044-1779028Limb 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. However, current neuroprosthetic interfaces have challenges in both signal quality and long-term stability. To overcome these limitations and work toward creating bionic limbs, the Neur...
Source: Seminars in Plastic Surgery - February 6, 2024 Category: Cosmetic Surgery Authors: Tian, Yucheng Vaskov, Alex K. Adidharma, Widya Cederna, Paul S. Kemp, Stephen W.P. Tags: Review Article Source Type: research
60 Years of Michigan Plastic Surgery
Semin Plast Surg DOI: 10.1055/s-0043-1778035In 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. Since that time, it has expanded dramatically to include 24 faculty members and 28 integrated plastic surgery residents. The goals of the program have always been to achieve excelle...
Source: Seminars in Plastic Surgery - February 5, 2024 Category: Cosmetic Surgery Authors: Berberoglu, Ipek Burke, Katherine L. Gilman, Robert H. Kasten, Steven Cederna, Paul S. Kemp, Stephen W.P. Tags: Review Article Source Type: research
A History of Gender-Affirming Surgery at the University of Michigan: Lessons for Today
Semin Plast Surg DOI: 10.1055/s-0043-1778042The 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 transgender and gender diverse patients. Here, we present the history of both programs, drawn from program documents and oral history, and explore their implications for the future sust...
Source: Seminars in Plastic Surgery - January 19, 2024 Category: Cosmetic Surgery Authors: Roblee, Cole Keyes, Os Blasdel, Gaines Haley, Caleb Lane, Megan Marquette, Lauren Hsu, Jessica Kuzon, William M. Tags: Review Article Source Type: research
A Historical Review of Racial, Ethnic, and Gender Diversity in Plastic Surgery at the University of Michigan
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 1989, respectively. Currently, women constitute over one-half the plastic surgery trainees at UofM, but URiM trainee representation remains limited. Dr. Adeyiza Momoh and Dr. Amy Alderman were the first URiM and female faculty members hired in 2011 and 2004, respectively. At present, there are four URiM and seven female faculty members in the Section. With a shared vision, supportive leadership, and mot...
Source: Seminars in Plastic Surgery - January 19, 2024 Category: Cosmetic Surgery Authors: Levy, Julien J.L. Hooper, Rachel C. Tags: Review Article Source Type: research
Regenerative Peripheral Nerve Interface Surgery for the Management of Chronic Posttraumatic Neuropathic Pain
Semin Plast Surg DOI: 10.1055/s-0043-1778078Chronic 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 nerve into an autologous free muscle graft to provide denervated targets to regenerating axons. RPNI surgery has been found in animal and human studies to be highly effective in ...
Source: Seminars in Plastic Surgery - January 19, 2024 Category: Cosmetic Surgery Authors: Lee, Jennifer C. Kemp, Stephen W.P. Kung, Theodore A. Tags: Review Article Source Type: research
Management of Neuropathic Pain with Neurectomy Combined with Dermal Sensory Regenerative Peripheral Nerve Interface (DS-RPNI)
Semin Plast Surg DOI: 10.1055/s-0043-1778041Neuropathic 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 and dermal grafts, respectively. These procedures have been used to treat chronic neuropathic pain in nonamputees, as well, in order to reduce failure rates found with traditional ne...
Source: Seminars in Plastic Surgery - January 19, 2024 Category: Cosmetic Surgery Authors: Hespe, Geoffrey E. Brown, David L. Tags: Review Article Source Type: research
Pyrocarbon Lunate Arthroplasty: An Option for the Young Patient with Advanced Kienbock Disease
This article describes the evidence and surgical technique for lunate implant arthroplasty and presents an illustrative case example. [...] 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 - January 19, 2024 Category: Cosmetic Surgery Authors: Dwivedi, Shashank S. Chung, Kevin C. Tags: Review Article Source Type: research
H Vessel Formation as a Marker for Enhanced Bone Healing in Irradiated Distraction Osteogenesis
In this study, we developed a novel approach to visualize CD31hiEmcnhi in paraffin sections to study DO regeneration. Normal DO demonstrated a significant upregulation of H vessel formation and associated angiogenic-osteogenic coupling. Radiation severely decreased H vessel formation along with an associated significant diminution of new bone formation and nonunion. DFO administration, however, resulted in vascular replenishment and the restoration of high quantities of CD31hiEmcnhi and OPCs, recapitulating the normal process of bony regeneration and repair. DFO treatment remediated new bone formation and bony union in irr...
Source: Seminars in Plastic Surgery - January 19, 2024 Category: Cosmetic Surgery Authors: Daniel, Melissa Sheppard, Nathan Carlos, Garrison Nelson, Noah Donneys, Alex Buchman, Steven R. Tags: Review Article Source Type: research
Financial Toxicity in Breast Reconstruction: The Role of the Surgeon-Patient Cost-of-Care Discussion
Semin Plast Surg DOI: 10.1055/s-0043-1778040The 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 breast reconstruction. Descriptive statistics and multivariable modeling were used to determine desire for and occurrence of cost-of-care discussions, and factors associated with...
Source: Seminars in Plastic Surgery - January 19, 2024 Category: Cosmetic Surgery Authors: Baglien, Brigit D. Ganesh Kumar, Nishant Berlin, Nicholas L. Hawley, Sarah T. Jagsi, Reshma Momoh, Adeyiza O. Tags: Review Article Source Type: research
Preface: Pediatric Plastic Surgery
Semin Plast Surg 2023; 37: 230-230 DOI: 10.1055/s-0043-1776396 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 - December 19, 2023 Category: Cosmetic Surgery Authors: Hollier, Larry H. Tags: Preface Source Type: research
Larry H. Hollier, Jr., MD, FACS, FAAP
Semin Plast Surg 2023; 37: 229-229 DOI: 10.1055/s-0043-1776397 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 - December 19, 2023 Category: Cosmetic Surgery Authors: Buchanan, Edward P. Tags: Introduction to the Guest Editor Source Type: research
Common Pediatric Hand Anomalies
Semin Plast Surg DOI: 10.1055/s-0043-1777096Upper 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 not only to provide adequate evaluation and workup of these patients but also to deliver appropriate surgical intervention and prepare parents with appropriate expectations. In t...
Source: Seminars in Plastic Surgery - November 28, 2023 Category: Cosmetic Surgery Authors: McCarter, Jacob H. Zeledon, Ricardo A. Cole, Samuel H. Layon, Sarah A. Nguyen, Jenny Lee Tags: Review Article Source Type: research
Updates in Cleft Care
Semin Plast Surg DOI: 10.1055/s-0043-1776733Cleft 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 American Cleft Palate Association, is the best way to ensure optimal outcomes. Multiple specialties including plastic surgery, otolaryngology, speech therapy, orthodontists, psycholo...
Source: Seminars in Plastic Surgery - November 16, 2023 Category: Cosmetic Surgery Authors: Parham, Matthew J. Simpson, Arren E. Moreno, Tanir A. Maricevich, Renata S. Tags: Review Article Source Type: research
