Robotic Rectus Abdominis Harvest for Pelvic Reconstruction after Abdominoperineal Resection
This article reviews the technique, benefits, and limitations of this robotic technique. Compared to the traditional open harvest, robotic harvest of the rectus abdominis leaves smaller scars, provides technical benefits for the surgeon, and offers possible morbidity benefits for the patient. These advantages should be weighed against the added expense and learning curve inherent to robotic surgery. [...] 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 - July 25, 2023 Category: Cosmetic Surgery Authors: Appel, Richard Shih, Linden Gimenez, Alejandro Bay, Caroline Chai, Christy Yoon-Hee Maricevich, Marco Tags: Review Article Source Type: research

Robotic-Assisted Nipple Sparing Mastectomy
Semin Plast Surg DOI: 10.1055/s-0043-1771047Minimally invasive approaches to breast surgery have evolved from endoscopic techniques to recent developments in robotic-assisted mastectomies. Initial studies on robotic-assisted nipple-sparing mastectomy (RNSM) have shown improved patient satisfaction and aesthetic outcomes with similar complication rates and oncological outcomes in selected patients. This chapter reviews techniques used and available data on complications and clinical outcomes for RNSM. Currently, RNSM is an investigational technique in the United States and should be performed in clinical trials with U.S. Fo...
Source: Seminars in Plastic Surgery - July 17, 2023 Category: Cosmetic Surgery Authors: Burns, Heather R. McCarter, Jacob H. King, Brody W. Yu, Jessie Z. Hwang, Rosa F. Tags: Review Article Source Type: research

The Philadelphia Shriners Hospital Approach to Brachial Plexus Birth Injury
Semin Plast Surg DOI: 10.1055/s-0043-1768965The care of children with brachial plexus birth injuries (BPBI) is a complex multidisciplinary endeavor. At the Shriners Hospital for Children in Philadelphia, we have sought to elevate the quality of care delivered to patients through outcomes research and collaboration with colleagues around the world. Our approach to the management of this challenging pathology has evolved time and again. Here, we describe our current approach to patient assessment and operative management in patients with BPBI and its many sequelae. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18...
Source: Seminars in Plastic Surgery - July 14, 2023 Category: Cosmetic Surgery Authors: Gundlach, Benjamin Kozin, Scott H. Zlotolow, Dan A. Park, Eugene Tags: Review Article Source Type: research

Permanent Brachial Plexus Birth Injury: Helsinki Shoulder Protocol
Semin Plast Surg DOI: 10.1055/s-0043-1768940Passive shoulder exercises from birth and ultrasound screening from 3 to 12 months. Botox is given to shoulder internal rotators and a bracing commenced, if alpha-angle exceeds 30°, or passive shoulder external rotation is below 70 degrees. Plexus reconstruction is recommended to children with root avulsion(s) on magnetic resonance imaging or 3-month Toronto Test Score < 3.5. Specific neurotization is recommended to children without avulsions, but lack of progress in healing. Shoulder dysplasia was diagnosed in 49% of 270 patients with permanent brachial plexus birth in...
Source: Seminars in Plastic Surgery - July 14, 2023 Category: Cosmetic Surgery Authors: Grahn, Petra P öyhiä, Tiina Nietosvaara, Yrj änä Tags: Review Article Source Type: research

Detailed Management of Brachial Plexus Birth Injuries: The Miami Protocol at Nicklaus Children's Hospital
Semin Plast Surg DOI: 10.1055/s-0043-1768687The management of children with brachial plexus birth injuries is complex and requires a multidisciplinary approach. In the following article, we describe our approach to evaluation and management at Nicklaus Children's Hospital. It is our aim is to elucidate nuances in management. [...] 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 - June 5, 2023 Category: Cosmetic Surgery Authors: Berger, Aaron J. Elias, Yvette Medina, Cherise Quinn, Nancy Schreiber, Verena Alvarado-Burgos, Enrique Price, Andrew Grossman, John AI Tags: Review Article Source Type: research

Birth Brachial Plexus Palsy: an Indian Perspective
In this study, the team of authors, based on their considerable experience, discuss their approach to the management of BBPP. This is done in the background of Indian cultural practices and social constraints. A detailed discussion has been done on importance of preoperative passive joint mobilization regime and role of botulinum toxin in the authors' preferred ways of surgical correction of primary as well as secondary deformities. An extensive review of peer-reviewed publications has been done in this study, including clinical papers, review articles, and systematic review of the subject. Good results are possible with e...
Source: Seminars in Plastic Surgery - April 18, 2023 Category: Cosmetic Surgery Authors: Thatte, Mukund R. Shah, Harsh R. Hiremath, Amita Tags: Review Article Source Type: research

Management of Brachial Plexus Birth Palsies: The Stanford Experience
Semin Plast Surg DOI: 10.1055/s-0043-1764453The start of Stanford's brachial plexus birth palsy (BPBP) experience dates back to 1983, when Dr. Vincent Rod Hentz visited Dr. Alain Gilbert on sabbatical. Since then, our principles of care for patients with BPBP have evolved based on our group's longitudinal experience caring for children with the entire spectrum of sequelae that arise in children with BPBP. We base our clinical decision making on frequent serial examinations and use intraoperative evoked potentials to guide surgical decisions. Here, we discuss our current principles on surgical indications, timing of surgery...
Source: Seminars in Plastic Surgery - March 27, 2023 Category: Cosmetic Surgery Authors: Park, Eugene Fox, Paige M. Curtin, Catherine Hentz, Vincent R. Tags: Review Article Source Type: research

Flap Debulking and Secondary Revisions in Head and Neck Reconstruction: A Systematic Review with Clinical Applications
Semin Plast Surg 2023; 37: 073-082 DOI: 10.1055/s-0042-1760444Flap debulking and secondary revisions are an integral factor in providing optimum outcomes to reconstructive patients. This review article summarizes systematically the available literature on flap debulking in head and neck reconstruction. The clinical applications of debulking techniques are discussed, including fractional direct excision, liposuction, and single-stage excision or planning with skin grafting. New technologies are also discussed. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJou...
Source: Seminars in Plastic Surgery - February 9, 2023 Category: Cosmetic Surgery Authors: Bashorun, Olatunde H. Johnson, R. Michael Johnson, Elise A. Tags: Review Article Source Type: research

Chemoprophylaxis and Management of Venous Thromboembolism in Microvascular Surgery
Semin Plast Surg 2023; 37: 057-072 DOI: 10.1055/s-0042-1760381This review aims to highlight the common pharmacological and nonpharmacological interventions utilized for thromboprophylaxis as well as flap salvage in microsurgery. A literature review was conducted in PubMed/National Center for Biotechnology Information, Scopus, Web of Science, and MEDLINE databases. Articles with a focus on thromboprophylaxis in microsurgical procedures spanning head and neck surgery, breast and extremity microvascular reconstruction, deep venous thrombosis/pulmonary embolus in microvascular surgery, and flap thrombosis and salvage were incl...
Source: Seminars in Plastic Surgery - February 9, 2023 Category: Cosmetic Surgery Authors: Mirzamohammadi, Fatemeh Nnamani Silva, Ogonna N. Leaf, Rebecca K. Eberlin, Kyle R. Valerio, Ian L. Tags: Review Article Source Type: research

Complications in Surgical Reconstruction: My View
Semin Plast Surg 2023; 37: 003-003 DOI: 10.1055/s-0043-1761300 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 - February 9, 2023 Category: Cosmetic Surgery Authors: Shockley, William W. Tags: Foreword Source Type: research

Complications in Head and Neck Reconstruction —Introduction
Semin Plast Surg 2023; 37: 002-002 DOI: 10.1055/s-0042-1760443 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 - February 9, 2023 Category: Cosmetic Surgery Authors: Kadakia, Sameep P. Wimalawansa, Sunishka M. Tags: Preface Source Type: research

Sameep Kadakia, MD, FACS, and Sunishka M. Wimalawansa, MD, MBA
Semin Plast Surg 2023; 37: 001-001 DOI: 10.1055/s-0042-1760442 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 - February 9, 2023 Category: Cosmetic Surgery Authors: Buchanan, Edward P. Tags: Introduction to the Guest Editors Source Type: research

Managing Oromandibular Hardware Failure after Free Flap Surgery
Semin Plast Surg DOI: 10.1055/s-0042-1760289Hardware failure after oromandibular reconstruction using free tissue transfer can delay additional therapies directed at cancer treatment and prevent patients from returning to normal oral function. Understanding and strict adherence to principles of rigid fixation is critical in preventing complications. Early surgical intervention for hardware exposure as well as utilization of locoregional flaps may prevent the need for more extensive revision surgery. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Tab...
Source: Seminars in Plastic Surgery - December 30, 2022 Category: Cosmetic Surgery Authors: Domack, Aaron M. Silverman, Dustin A. Tang, Alice L. Zender, Chad A. Patil, Yash J. Tags: Review Article Source Type: research

Management of Palatal Defects after Free-Flap Reconstruction and Radiotherapy
Semin Plast Surg DOI: 10.1055/s-0042-1759797Palatal fistulas have significant effects on quality of life. Traditional prosthetic rehabilitation and surgical reconstruction of palate defects in radiation-naïve tissues are well described. However, palatal fistulas developing after initial tumor extirpation, free-flap reconstruction, and adjuvant radiation or chemoradiation are associated with challenging secondary tissue effects. In this review, we will discuss the management of palatal fistulas after surgical reconstruction and radiotherapy. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY...
Source: Seminars in Plastic Surgery - December 22, 2022 Category: Cosmetic Surgery Authors: McIlwain, Wesley Inman, Jared Namin, Arya Kazi, Aasif Shumrick, Christopher Ducic, Yadranko Tags: Review Article Source Type: research

Neopharyngeal Stricture following Laryngectomy
Semin Plast Surg DOI: 10.1055/s-0042-1759796Stricture formation is a serious complication following pharyngeal reconstruction. These strictures can be life-threatening and can severely impact quality of life. In this article, the existing literature on surgical risk factors linked to neopharyngeal stricture formation is reviewed. Intraoperative preventative measures reconstructive surgeons should consider are also discussed. Finally, this article will describe the evaluation and management of pharyngoesophageal strictures, including the challenges and options when dealing with refractory strictures. [...] Thieme Medical Pu...
Source: Seminars in Plastic Surgery - December 22, 2022 Category: Cosmetic Surgery Authors: Hanubal, Krishna S. Chheda, Neil N. Dziegielewski, Peter T. Tags: Review Article Source Type: research