journal
https://read.qxmd.com/read/38495070/pyrocarbon-lunate-arthroplasty-an-option-for-the-young-patient-with-advanced-kienbock-disease
#1
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
#2
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
#3
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
#4
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
#5
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
https://read.qxmd.com/read/38495065/management-of-neuropathic-pain-with-neurectomy-combined-with-dermal-sensory-regenerative-peripheral-nerve-interface-ds-rpni
#6
REVIEW
Geoffrey E Hespe, David L Brown
Neuropathic 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 neurectomy procedures...
February 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38495064/merging-humans-and-neuroprosthetics-through-regenerative-peripheral-nerve-interfaces
#7
REVIEW
Yucheng Tian, Alex K Vaskov, Widya Adidharma, Paul S Cederna, Stephen W P Kemp
Limb 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 Neuromuscular Laboratory at University of Michigan Plastic Surgery has developed the Regenerative Peripheral Nerve Interface (RPNI)...
February 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38495063/perioperative-opioid-related-harms-opportunities-to-minimize-risk
#8
REVIEW
Dominic Alessio-Bilowus, Alexandra O Luby, Samantha Cooley, Sarah Evilsizer, Elizabeth Seese, Mark Bicket, Jennifer F Waljee
Although 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 of unused opioids into communities...
February 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38495062/regenerative-peripheral-nerve-interface-surgery-for-the-management-of-chronic-posttraumatic-neuropathic-pain
#9
REVIEW
Jennifer C Lee, Stephen W P Kemp, Theodore A Kung
Chronic 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 addressing postamputation pain...
February 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38495061/michigan-special-issue-60-years-of-michigan-plastic-surgery
#10
JOURNAL ARTICLE
Stephen W P Kemp
No abstract text is available yet for this article.
February 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38495060/financial-toxicity-in-breast-reconstruction-the-role-of-the-surgeon-patient-cost-of-care-discussion
#11
REVIEW
Brigit D Baglien, Nishant Ganesh Kumar, Nicholas L Berlin, Sarah T Hawley, Reshma Jagsi, Adeyiza O Momoh
The 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 preference for such discussions...
February 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38495059/stephen-w-p-kemp-phd
#12
JOURNAL ARTICLE
Edward P Buchanan
No abstract text is available yet for this article.
February 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38495058/a-historical-review-of-racial-ethnic-and-gender-diversity-in-plastic-surgery-at-the-university-of-michigan
#13
REVIEW
Julien J S Levy, Rachel C Hooper
In this article, we examine the 60-year history of diversity efforts within the Section of Plastic Surgery at the University of Michigan (UofM) in the context of national trends. 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...
February 2024: Seminars in Plastic Surgery
https://read.qxmd.com/read/38124800/preface-pediatric-plastic-surgery
#14
JOURNAL ARTICLE
Larry H Hollier
No abstract text is available yet for this article.
November 2023: Seminars in Plastic Surgery
https://read.qxmd.com/read/38124799/larry-h-hollier-jr-md-facs-faap
#15
JOURNAL ARTICLE
Edward P Buchanan
No abstract text is available yet for this article.
November 2023: Seminars in Plastic Surgery
https://read.qxmd.com/read/38098686/craniofacial-distraction-osteogenesis
#16
REVIEW
Heather R Burns, Daniel S Wang, Amjed Abu-Ghname, Robert F Dempsey
Distraction osteogenesis (DO) of the craniofacial skeleton has become an effective technique for the treatment of both nonsyndromic and syndromic conditions. The advent of craniofacial DO has allowed for earlier intervention in pediatric patients with less complication risk and morbidity compared to traditional techniques. In this review, we will discuss current application and technique for craniofacial DO by anatomical region and explore future applications in craniofacial surgery.
November 2023: Seminars in Plastic Surgery
https://read.qxmd.com/read/38098685/seminars-in-plastic-surgery-pediatric-ear-anomalies-and-reconstruction
#17
REVIEW
Heather R Burns, Jacob Dinis, Yang Ding, Edward P Buchanan
Congenital ear anomalies affect 15 to 20% of neonates and can be categorized as either auricular deformations or malformations. Deformations involve a fully developed, albeit abnormally shaped, chondrocutaneous framework, which makes them amenable to correction with ear molding within the first few months of life. Malformations involve hypoplastic or fully absent auricular structures that require augmentation with alloplastic and/or autogenous reconstruction. The goal of this article is to outline the various auricular deformities and malformations, followed by a description of the latest clinical management options, both nonsurgical and surgical, by auricular anomaly...
November 2023: Seminars in Plastic Surgery
https://read.qxmd.com/read/38098684/pediatric-microsurgery-and-free-tissue-transfer
#18
REVIEW
Heather R Burns, Anna J Skochdopole, Richardo Alfaro Zeledon, William C Pederson
Advancements in microsurgery, along with increased microsurgical experience in pediatric patients, have made free-tissue transfer a reliable modality for pediatric bone and soft tissue reconstruction today. Free-tissue transfer is most commonly used in children for the coverage of large or complex defects resulting from traumatic, oncologic, or congenital etiologies. While flap success and complication rates between pediatric and adult populations are similar, special considerations must be taken into account within the pediatric population...
November 2023: Seminars in Plastic Surgery
https://read.qxmd.com/read/38098683/pediatric-craniofacial-tumor-reconstruction
#19
REVIEW
Matthew J Parham, Yang Ding, Daniel S Wang, Austin Y Jiang, Edward P Buchanan
Effective management of pediatric craniofacial tumors requires coordinated input from medical, oncologic, and surgical specialties. Reconstructive algorithms must consider limitations in pediatric donor tissue and account for future growth and development. Immediate reconstruction is often focused on filling dead space, protecting underlying structures, and ensuring skeletal symmetry. Staged reconstruction occurs after the patient has reached skeletal maturity and is focused on restoring permanent dentition...
November 2023: Seminars in Plastic Surgery
https://read.qxmd.com/read/38098682/updates-in-cleft-care
#20
REVIEW
Matthew J Parham, Arren E Simpson, Tanir A Moreno, Renata S Maricevich
Cleft 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, psychologists, and audiologists all may be indicated in the care of the child...
November 2023: Seminars in Plastic Surgery
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