journal
https://read.qxmd.com/read/38746706/jong-o-lee-md-facs-fccm-faba
#1
JOURNAL ARTICLE
Edward P Buchanan
No abstract text is available yet for this article.
May 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38746705/update-on-hypermetabolism-in-pediatric-burn-patients
#2
REVIEW
Sarah A Layon, Austin D Williams, Matthew J Parham, Jong O Lee
Despite advancements in pediatric burn care, the profound hypermetabolic response associated with severe burns remains a multifaceted challenge throughout the continuum of care. Understanding the various physiologic disturbances that constitute hypermetabolism is crucial for a thorough evaluation and for implementing appropriate surgical and nonsurgical interventions. In this article, we describe the pathophysiology and treatment of hypermetabolism in pediatric burn patients with a focus on reducing resting energy requirements, minimizing infection, and optimizing nutrition for patients undergoing frequent surgical intervention...
May 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38746704/global-surgery-burn-outreach-by-shriners-children-s-texas
#3
REVIEW
Ramon L Zapata-Sirvent, Ludwik K Branski, Jong O Lee
Global surgery describes a rapidly developing field that seeks to improve surgical treatment internationally, specifically in those specialized treatments that are not readily accessible, considered complex and expensive. Burns cause 300,000 deaths annually, 90% of which occur in low- and middle-income countries (LMICs). Burns are a public health problem since they can cause disability and death. Shriners Children's Texas is a unique model of global surgery for an important number of countries in Central and South Americas and Mexico, providing specialized acute burn care with low mortality for burned children...
May 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38746703/pediatric-burn-teams-moving-from-multidisciplinary-to-transdisciplinary
#4
REVIEW
Kathleen S Romanowski
Pediatric burn care has improved to the point where even patients with massive burns have a reasonable chance of survival. An important component of this success is the pediatric multidisciplinary burn team. The pediatric burn team is made up of all the disciplines that are required to provide optimal care of the patient as well as their family. The pediatric burn team in its initial iteration was multidisciplinary, with each discipline focusing on their own area without much overlap. However, over time the burn team has become more cooperative and interdisciplinary leading to improved outcomes for children with burn injuries...
May 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38746702/initial-pediatric-burn-management-a-practical-guide
#5
REVIEW
Tina L Palmieri
Children have an imperative to explore their environment to grow and develop, which puts them at risk for sustaining burn injury. Burn injury remains the third leading cause of injury-related death worldwide. Plastic surgeons, as experts in the evaluation and management of cutaneous injuries, are frequently called upon to evaluate and treat children with burn injuries. This article focuses on the unique physiologic aspects of children and how they impact initial evaluation and management of burn injury. Children are not "little adults," and they have different airway, circulatory, and cutaneous systems...
May 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38746701/inhalation-injury
#6
REVIEW
Michael J Erickson, Perenlei Enkhbaatar, Jong O Lee
Inhalation injury is a critical component of thermal injury that can significantly increase mortality in burn survivors. This poses significant challenges to managing these patients and profoundly impacts patient outcomes. This comprehensive literature review delves into the epidemiology, pathophysiology, diagnosis, classification, management, and outcomes of inhalation injury with burns.
May 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38746700/wound-management-of-pediatric-burns
#7
REVIEW
David G Greenhalgh
The goal for treating pediatric burns is to allow the patient to heal with as little scarring as possible. Compared to older children and adults, very small children have anatomic differences that alter their treatment. They have thinner skin that leads to a higher risk for full-thickness burns. Children also tend to freeze when touching a hot item, so that the prolonged contact also leads to deeper burns. Two healing strategies are needed to treat these wounds. One must optimize reepithelialization in superficial burns to reduce scarring...
May 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38746699/the-historical-evolvement-of-movement-and-exercise-training-in-patients-with-severe-burns-and-their-potential-effects-on-grafts-scars-and-function
#8
REVIEW
Julia Kleinhapl, Kristine Knappskog, Celeste C Finnerty, Ludwik Branski, Oscar E Suman
Exercise training for burn patients has become a major part of rehabilitation programs within the last decades. One of the main reasons for prolonged and long-term increased morbidity and mortality in this population is a persistent catabolic state with subsequent loss of lean body mass (LBM). A combination of resistance and aerobic exercises as well as stretching has shown to improve physical function by enhancing cardiopulmonary fitness, LBM, and strength and thus leading to ameliorated long-term outcomes of patients recovering from burns...
May 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38746698/benefits-and-process-of-providing-peer-support-for-pediatric-burn-survivors-and-caregivers-during-inpatient-and-outpatient-phases-of-recovery
#9
REVIEW
Marta Rosenberg, Robert Rodriguez, Staci Grant, Alicia San Miguel, Jong O Lee, Laura Rosenberg
The World Health Organization reveals that pediatric burns represent a large portion of burns globally (61). Increases in survival rates have guided clinical and research focus on physical, psychological, and social outcomes. Research on other childhood illnesses has shown the efficacy of social support throughout recovery. In the pediatric burn literature, studies have shown the efficacy of burn camps for promoting positive interactions among survivors, learning coping skills, and facilitating socialization and reintegration...
May 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38746697/musculoskeletal-issues-in-pediatric-burn-patients
#10
REVIEW
William A Phillips
A burn injury affects virtually every organ system. The purpose of this article is to review musculoskeletal issues in children with burn injuries. Both acute and long-term problems will be discussed. A low threshold to consult a pediatric orthopaedist is recommended.
May 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38746696/critical-care-of-the-pediatric-burn-patient
#11
REVIEW
Catherine Naber, Robert Sheridan
Life-saving pediatric burn care is often initiated in hospitals that are not designated as a pediatric burn center. Therefore, familiarity with critical care of pediatric burn patients is crucial for physicians working in all healthcare settings equipped to care for children. Management of airway, mechanical ventilation, preservation of ideal circulatory status, and establishment of vascular access in pediatric burn patients requires many unique considerations. This article aims to summarize important principles of critical care of children with significant burn injuries for review by physicians and surgeons working in hospitals designated as a pediatric burn center and those that stabilize these patients prior to referral...
May 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38746695/airway-management-for-acute-and-reconstructive-burns-our-30-year-experience
#12
REVIEW
Brita M Mittal, Robert A McQuitty, Mark Talon, Alexis L McQuitty
Airway management in both acute and reconstructive burn patients can be a major challenge for evaluation, intubation, and securing the airway in the setting of altered airway structure. Airway evaluation in both acute and reconstructive patients includes examination for evidence of laryngeal and supraglottic edema and structural changes due to trauma and/or scarring that will impact the successful approach to acquiring an airway for surgical procedures and medical recovery. The approach to acquiring a successful airway is rarely standard laryngoscopy and often requires fiberoptic bronchoscopy and a variety of airway manipulation techniques...
May 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38746694/nutrition-in-pediatric-burns
#13
REVIEW
Amy A Mrazek, Preston Simpson, Jong O Lee
Nutrition and modulation of the hypermetabolic response to acute burns are reviewed in this article. Methods to determine caloric requirements are evaluated, including indirect calorimetry and predictive equations. Individual nutritional components of carbohydrates, fat, protein, vitamins, and trace elements are discussed specifically in relation to acute burn care. Selection of formula and route of administration are outlined, with an enteral high-carbohydrate, low-fat diet being preferable. Awareness and recognition of the signs and symptoms of malnutrition is critical in the management of variable caloric needs throughout hospitalization...
May 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38746693/pediatric-facial-burn-reconstruction
#14
REVIEW
Tina Moon, Daniel N Driscoll
Contrary to prior pediatric burn treatment philosophies, we now know that early burn excision and grafting for non life-threatening burns can compromise future reconstruction. Extensive scar excision should be minimized and scar rehabilitation maximized, as secondary iatrogenic deformities can become even more difficult to fix. Scar remodeling with local tissue rearrangement can relieve tension and soften scars over time. The majority of facial burns often only involve skin and can be adequately treated without the need for complex flap reconstruction...
May 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38746692/pediatric-burn-care
#15
JOURNAL ARTICLE
Jong O Lee
No abstract text is available yet for this article.
May 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38495070/pyrocarbon-lunate-arthroplasty-an-option-for-the-young-patient-with-advanced-kienbock-disease
#16
REVIEW
Shashank S Dwivedi, Kevin C Chung
Kienbock disease, or avascular necrosis of the lunate, is an uncommon cause of a painful and stiff wrist. Management options range from conservative treatment in the form of immobilization and corticosteroid injections to a wide variety of surgical treatments that depend on the structural integrity of the lunate, intercarpal relationships, and the condition of the articular cartilage of the wrist. A particularly difficult problem lies in the management of young patient in whom vascularized bone grafting of the lunate has failed but in whom arthritis has not yet developed...
February 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38495069/h-vessel-formation-as-a-marker-for-enhanced-bone-healing-in-irradiated-distraction-osteogenesis
#17
REVIEW
Melissa Daniel, Nathan Sheppard, Garrison Carlos, Noah Nelson, Alex Donneys, Steven R Buchman
In the setting of bone defects, the injured vasculature and loss of hemodynamic inflow leads to hematoma formation and low oxygen tension which stimulates vascular expansion through the HIf-1α pathway. Most importantly, this pathway upregulates sprouting of type H vessels (CD31hiEmcnhi vessels). H vessels engage in direct interaction with perivascular osteoprogenitor cells (OPCs), osteoblasts, and preosteoclasts of bone formation and remodeling. This angiogenic-osteogenic coupling leads to synchronous propagation of vascular and bony tissue for regenerative healing...
February 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38495068/a-history-of-gender-affirming-surgery-at-the-university-of-michigan-lessons-for-today
#18
REVIEW
Cole Roblee, Os Keyes, Gaines Blasdel, Caleb Haley, Megan Lane, Lauren Marquette, Jessica Hsu, William M Kuzon
The 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 sustainability of gender-affirming surgery programs...
February 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38495067/60-years-of-michigan-plastic-surgery
#19
REVIEW
Ipek Berberoglu, Katherine L Burke, Robert H Gilman, Steven Kasten, Paul S Cederna, Stephen W P Kemp
In 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...
February 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38495066/ethical-principles-in-plastic-surgery-research
#20
REVIEW
Hannes Prescher, Christian J Vercler
Research is an integral part of medical progress that leads to better understanding of disease processes and the development of therapies to improve patient care. The medical community has an obligation and societal responsibility to review its practices and advance its knowledge to optimize care for those who entrust it with their health and well-being. While ultimately intended to benefit patients specifically and society as a whole, every laboratory and clinical investigation inherently carries an element of uncertainty and has attendant risks...
February 2024: Seminars in Plastic Surgery
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