Economic Cost-Benefit Analysis of Nerve Implanted into Muscle versus Targeted Muscle Reinnervation versus Regenerative Peripheral Nerve Interface, for Treatment of the Painful Neuroma
Conclusion Evaluation of costs and utilities associated with the various surgical options for the management of painful neuromas suggest that nerve implantation into muscle is the least expensive option with the best improvement in QALY, while demonstrating comparable outcomes to TMR and RPNI with regard to pain symptoms. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 26, 2024 Category: Surgery Authors: Zamore, Zachary Yesantharao, Pooja S. Aravind, Pathik Dellon, A. Lee Tags: Original Article Source Type: research

Outpatient Prescription Opioid Use following Discharge after Deep Inferior Epigastric Perforator Breast Reconstruction with and without an Educational Intervention
Conclusion For patients discharging home after DIEP reconstruction, we recommend a prescription for 12 oxycodone 5 mg tablets. With the use of an educational video regarding proper opioid consumption, we were able to reduce the total outpatient opioid use to 5 oxycodone 5 mg tablets following hospital discharge. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 26, 2024 Category: Surgery Authors: Marquez, Jessica L. Chow, Josh Moss, Whitney Luo, Jessica Eddington, Devin Agarwal, Jayant P. Kwok, Alvin C. Tags: Original Article Source Type: research

The Continued Impact of Godina's Principles: Outcomes of Flap Coverage as a Function of Time After Definitive Fixation of Open Lower Extremity Fractures
Conclusion Early soft tissue reconstruction of open lower extremity fractures performed within 7 days of ORIF reduces complication rates and reduces the variability of complication rates including SSIs, acute osteomyelitis, and hardware failure. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 26, 2024 Category: Surgery Authors: Le, Elliot L. H. McNamara, Colin T. Constantine, Ryan S. Greyson, Mark A. Iorio, Matthew L. Tags: Original Article Source Type: research

Both Patients and Plastic Surgeons Prefer Artificial Intelligence –Generated Microsurgical Information
Conclusion AI-generated patient-facing materials were preferred by surgeons in terms of comprehensiveness and clarity when blindly compared with online material provided by ASRM. Studied AI-generated material was not found to contain inaccuracies. Additionally, surgeons and nonmedical individuals consistently indicated an overall preference for AI-generated material. A readability analysis suggested that both materials sourced from ChatGPT and ASRM surpassed recommended reading levels across six readability scores. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thi...
Source: Journal of Reconstructive Microsurgery - March 26, 2024 Category: Surgery Authors: Berry, Charlotte E. Fazilat, Alexander Z. Lavin, Christopher Lintel, Hendrik Cole, Naomi Stingl, Cybil S. Valencia, Caleb Morgan, Annah G. Momeni, Arash Wan, Derrick C. Tags: Original Article Source Type: research

Postparetic Synkinesis: Objective and Subjective Comparisons of Depressor Anguli Oris Myectomies versus Depressor Anguli Oris and Buccinator Myectomies
Conclusion The addition of a buccinator myectomy to a DAO myectomy does not provide significant clinical benefit when compared with an isolated DAO myectomy, based on objective measures and subjective patient-reported outcomes. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 18, 2024 Category: Surgery Authors: Sanchez, Cristina V. Ercan, Alp Rozen, Shai M. Tags: Original Article Source Type: research

Delayed Commissuroplasty Increases Interincisal Distance in Buccogingival Cancer Patients Treated with Free Flap Reconstruction of the Oral Commissure
Conclusion Delayed commissuroplasty increased interincisal distance and normalize drooling in patients who required full-thickness excision of the buccal mucosa and oral commissure and free tissue reconstruction. The presented data can help to educate patients on expected postoperative outcomes and likely advocates for a second-stage procedure after completion of adjunct radiotherapy to achieve optimal commissural placement and oral competence. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Sou...
Source: Journal of Reconstructive Microsurgery - March 18, 2024 Category: Surgery Authors: Hung, Shao Yu Hanba, Curtis Chang, Tommy Nai-Jen Chen, Yan-Lin Lu, Johnny Chuieng-Yi Tags: Original Article Source Type: research

The Role of Density in Achieving Volume and Weight Symmetry in Breast Reconstruction
Conclusion Our results support the suitability of abdominal-based perforator flaps in achieving both volume and weight symmetry in unilateral autologous breast reconstruction. Abdominal flap volume can be derived one-to-one from mastectomy weight. Further, given significant brand-dependent density differences, the potential to impose weight disbalances when performing unilateral implant-based reconstructions of large breasts should be considered. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (S...
Source: Journal of Reconstructive Microsurgery - March 6, 2024 Category: Surgery Authors: Mayr-Riedler, Michael S. Topka, Charlotte Schneider, Simon Heidekrueger, Paul I. Machens, Hans-G ünther Broer, P. Niclas Tags: Original Article Source Type: research

The Hidden Risks of Perioperative Transfusions in Traumatic Lower Extremity Free Flap Reconstruction
Conclusion The number of units of PRBCs given perioperatively was the only variable independently associated with major complications on multivariate analysis and was one of many variables associated with increased LOS. These findings suggest the usage of restrictive transfusion protocols in trauma patients requiring LE reconstruction. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 1, 2024 Category: Surgery Authors: Swiekatowski, Kylie R. Manisundaram, Arvind D. Woods, Delani E. Green, Jackson C Bhadkamkar, Mohin A. Wu-Fienberg, Yuewei Tags: Original Article Source Type: research

Differential Diagnosis of “Foot Drop”: Implications for Peripheral Nerve Surgery
Conclusion The ideal surgical technique for treating foot drop, other than neurolysis for compression, remains elusive as traditional peripheral nerve procedures have been marred by a wide spectrum of functional results. Based on a careful understanding of why past techniques have achieved limited success, we can formulate a working set of principles to help guide surgical innovation moving forward, such as fascicular nerve transfer. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journa...
Source: Journal of Reconstructive Microsurgery - February 29, 2024 Category: Surgery Authors: Seruya, Mitchel Tags: Invited Review Source Type: research

Quality of Life Outcomes after Free Fibula Flap Reconstruction of Mandibular Defects: A Longitudinal Examination
Conclusion Subjective quality of life outcomes do not change significantly with time after oncologic FFF mandible reconstruction. Reconstructive surgeons can use these results to help patients establish appropriate and achievable quality of life goals after surgery. Further studies are warranted to elucidate the impact of specific relevant clinical variables on postoperative quality of life. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - February 27, 2024 Category: Surgery Authors: Zhang, Kevin K. Cohen, Zack Cunningham, Louise Kim, Minji Monge, Jasmine Tecce, Michael Nelson, Jonas A. Cracchiolo, Jennifer Matros, Evan Shahzad, Farooq Allen, Robert J. Tags: Original Article Source Type: research

Does Steal Phenomenon Exist in Multiple Neurotization? —An Experimental Rat Study
Conclusion This study proves the existence of steal phenomenon in multiple target neurotization but does not significantly affect the functional results. Postoperative rehabilitative measures (including electrical stimulation, induction exercise) and patient compliance (ambition and persistence) are other crucial factors that hold equivalent importance to long-term successful recovery. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - February 27, 2024 Category: Surgery Authors: Lu, Johnny Chuieng-Yi Lin, Jerry Tsung-Kai Chuang, David Chwei-Chin Tags: Original Article Source Type: research

Perforator Dissection Porcine Abdominal Model: A Novel Simulator to Improve Microsurgical Training
Conclusion The latex-infused porcine abdominal model is a novel, realistic simulation for microsurgical trainee perforator dissection practice. This model offers a suitable substitute for perforator dissection practice, as its implementation within a microsurgery training course improves resident comfort and confidence. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - February 23, 2024 Category: Surgery Authors: Shaffrey, Ellen C. Zeng, Weifeng Nicksic, Peter J. Eftekari, Sahand C. Frank, Jennifer M. Dingle, Aaron M. Poore, Samuel O. Tags: Original Article Source Type: research

Postoperative Magnesium Sulfate Repletion Decreases Narcotic Use in Abdominal-Based Free Flap Breast Reconstruction
Conclusion This is the first study to describe the potential analgesic benefits of routine postoperative magnesium repletion in abdominal-based free flap reconstruction. Further research is necessary to fully understand the role of perioperative magnesium supplementation as part of an ERAS protocol. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - February 23, 2024 Category: Surgery Authors: Lu, Yi-Hsueh Jeon, Jini Mahajan, Lakshmi Yan, Yufan Weichman, Katie E. Ricci, Joseph A. Tags: Original Article Source Type: research

The Ischemic Tolerance up to Four Hours of Free Jejunum Flap: A Retrospective Cohort Study
Conclusion In TPLE + FJT, a jejunal ischemia time of up to 4 hours had no effect on perioperative complications or postoperative dysphagia. The TPLE + FJT technique, involving a jejunal anastomosis first followed by vascular anastomosis, benefits from an easier jejunal anastomosis but suffers from a longer jejunal ischemia time. However, we found that ischemia time does not pose significant problems, although we have not evaluated the effects of jejunal ischemia extending beyond 4 hours. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: T...
Source: Journal of Reconstructive Microsurgery - February 23, 2024 Category: Surgery Authors: Kagaya, Yu Takanashi, Ryo Arikawa, Masaki Kageyama, Daisuke Higashino, Takuya Akazawa, Satoshi Tags: Original Article Source Type: research

Mapping of Thoracodorsal Artery Perforators: Accuracy of Thermography and Handheld Doppler
Conclusion DIRT precisely localizes TDAPs. The fusion with CDU combines both modalities' advantages. The combination with handheld Doppler is a fast way of perforator imaging, decreasing the handheld Dopplers' high false positive rate. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - February 23, 2024 Category: Surgery Authors: Illg, Claudius Heinzel, Johannes C. Denzinger, Markus Sch äfer, Ruth C. Daigeler, Adrien Krauss, Sabrina Tags: Original Article Source Type: research