2024
Quantitative Assessment of Forehead Morphology Following Facial Feminization Surgery
Parikh N, Hu K, Ihnat J, Almeida M, Williams M, Alper D, Allam O, Aral A, Persing J, Alperovich M. Quantitative Assessment of Forehead Morphology Following Facial Feminization Surgery. Transgender Health 2024 DOI: 10.1089/trgh.2024.0019.Peer-Reviewed Original ResearchFacial feminization surgeryFrontonasal angleFACE-QComputerized tomographyFeminization surgeryPreoperative to postoperative changeTime of surgeryIntraclass coefficientFACE-Q modulesGender-affirming surgeryPatient-reported outcome measuresForehead contourPostoperative changesAcademic medical centerForehead morphologySurgeryPatientsQuality of lifeInclusion criteriaCT imagesMedical CenterPatient satisfactionOutcome measuresInter-rater reliabilityForeheadSports participation after craniosynostosis repair: the critical role of post-operative guidance in parental decision-making
Parikh N, Hu K, Allam O, Ihnat J, Rancu A, Boroumand S, Persing J, Alperovich M. Sports participation after craniosynostosis repair: the critical role of post-operative guidance in parental decision-making. Child's Nervous System 2024, 40: 2551-2556. PMID: 38578479, DOI: 10.1007/s00381-024-06381-0.Peer-Reviewed Original ResearchParental decision-makingContact sportsHealthcare providersSports participationMethodsParents of childrenMean comfort levelPrimary surgeonChildren aged 6American Academy of PediatricsPatient safetyAcademy of PediatricsHealthcare professionalsLimited-contactDecision-making processPearson correlation testAged 6Parental anxietyHealthcareLikert scaleChildren's participationSport involvementAmerican AcademyCraniosynostosis repairDecision-makingChi-squareSmooth versus Textured Tissue Expanders: Comparison of Outcomes and Complications in 536 Implants
Allam O, Dinis J, Almeida M, Junn A, Mozaffari M, Shah R, Chong L, Olawoyin O, Mehta S, Park K, Avraham T, Alperovich M. Smooth versus Textured Tissue Expanders: Comparison of Outcomes and Complications in 536 Implants. Archives Of Plastic Surgery 2024, 51: 042-051. PMID: 38425846, PMCID: PMC10901592, DOI: 10.1055/s-0043-1775592.Peer-Reviewed Original ResearchTextured tissue expandersPain scoresTissue expanderTwo-stage breast reconstructionTextured surface implantsExpander fill volumeStudy evaluated outcomesAssociated with ageComparison of outcomesRegression analysisBilateral reconstructionPrepectoral placementComplication rateTextured implantsNo significant differenceBreast reconstructionPerioperative informationSurface implantsOperative timeTE exchangeComplicationsLinear regression analysisSignificant differencePainChi-square
2023
Technique for Cephalometric Analysis of the Craniofacial Skeleton Following Facial Feminization Surgery
Williams M, Almeida M, Alper D, Allam O, Shah J, Craver A, Judge A, Rivera J, Persing J, Alperovich M. Technique for Cephalometric Analysis of the Craniofacial Skeleton Following Facial Feminization Surgery. Journal Of Craniofacial Surgery 2023, 35: 646-648. PMID: 37955450, DOI: 10.1097/scs.0000000000009885.Peer-Reviewed Original Research
2022
Flap to Mastectomy Mass: Are Higher Ratios Associated with Greater Breast Reconstruction Satisfaction?
Long AS, Ching A, Hauc SC, Mozaffari MA, Junn AH, Rivera JC, Almeida MN, Alper DP, Allam O, Alperovich M. Flap to Mastectomy Mass: Are Higher Ratios Associated with Greater Breast Reconstruction Satisfaction? Journal Of Reconstructive Microsurgery 2022, 39: 209-213. PMID: 35752166, DOI: 10.1055/a-1885-1540.Peer-Reviewed Original ResearchConceptsBREAST-Q surveysAutologous breast reconstructionBody mass indexPatient satisfactionBreast reconstructionHigh patient-reported satisfactionLong-term patient satisfactionPatient underwent radiation therapySuperior patient-reported outcomesDeep inferior epigastric perforator flapPatient-reported satisfactionUnderwent radiation therapyPatient-reported outcomesNumber of surgeriesMost patientsMass indexRetrospective studySurgery failureBreast ScoreRadiation therapySmall breastsPerforator flapProsthetic techniquesBreast sizePatientsEvaluation of Complication Rates of Free Flap Reconstruction in Pediatric Patients
Allam O, Shah R, Cadwell JB, Dinis J, Peck C, Junn A, Gowda A, Alperovich M. Evaluation of Complication Rates of Free Flap Reconstruction in Pediatric Patients. Journal Of Indian Association Of Pediatric Surgeons 2022, 27: 428-434. PMID: 36238337, PMCID: PMC9552629, DOI: 10.4103/jiaps.jiaps_129_21.Peer-Reviewed Original ResearchFree flap reconstructionComplication rateFlap reconstructionPediatric populationNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseAnastomotic complication rateCurrent Procedural Terminology codesImprovement Program databaseProcedural Terminology codesType of flapRegression analysisMultivariate regression analysisFree flap casesPostoperative complicationsReoperation rateIndependent predictorsPediatric patientsFlap complicationsSurgical outcomesPrimary procedureUpper extremityProgram databaseFlap typeChi-square analysisPerceived Age and Personality Profiling after Orthognathic Surgery
Pourtaheri N, Peck CJ, Gowda A, Parsaei Y, Allam O, Patel VK, Park E, Yu J, Lopez J, Steinbacher DM. Perceived Age and Personality Profiling after Orthognathic Surgery. Plastic & Reconstructive Surgery 2022, 150: 146-154. PMID: 35575641, DOI: 10.1097/prs.0000000000009229.Peer-Reviewed Original ResearchConceptsPatient's facial profileOrthognathic surgeryPatient sociodemographicsFacial profileOlder ageCLINICAL QUESTION/LEVELTime of surgerySignificant decreaseCharacteristic curve analysisUnpaired t-testOlder patientsYounger patientsPatient factorsSingle surgeonAge changesSurgeryPatientsPostoperative imagesCurve analysisSociodemographicsAgeSignificant differencesMultivariate regressionT-testBase of evidenceProphylactic Desexualizing Mastectomy for an Intellectually Disabled Woman: Protective Measure or Disregard for Autonomy?
Allam O, Gudbranson E, Long AS, Alperovich M, Avraham T. Prophylactic Desexualizing Mastectomy for an Intellectually Disabled Woman: Protective Measure or Disregard for Autonomy? Plastic & Reconstructive Surgery Global Open 2022, 10: e4347. PMID: 35620504, PMCID: PMC9126510, DOI: 10.1097/gox.0000000000004347.Peer-Reviewed Original ResearchVirtual Neurocognitive Testing in Craniofacial Surgery
Wu RT, Park KE, Chandler L, Ahmad M, Allam O, Timberlake AT, Persing JA, Alperovich M. Virtual Neurocognitive Testing in Craniofacial Surgery. Plastic & Reconstructive Surgery 2022, 149: 1413-1416. PMID: 35413035, DOI: 10.1097/prs.0000000000009145.Peer-Reviewed Original ResearchConceptsNeurocognitive testingIntelligence quotientNeurocognitive assessment batteryCongenital craniofacial conditionsPerformance intelligence quotientVerbal intelligence quotientLong-term developmental outcomesWord recognitionVisuomotor skillsVisual perceptionMath computationPerson testingAssessment BatteryVisuomotor integrationNeurocognitive assessmentAcademic achievementDevelopmental outcomesSchool-age subjectsSame batteryCraniofacial conditionsPositive experiencesOverall positive experienceInteractive naturePercent of participantsParticipantsOrbital and Periorbital Dysmorphology in Untreated Pfeiffer Syndrome
Lu X, Forte AJ, Allam O, Park KE, Wilson A, Alperovich M, Steinbacher DM, Tonello C, Alonso N, Persing JA. Orbital and Periorbital Dysmorphology in Untreated Pfeiffer Syndrome. Plastic & Reconstructive Surgery 2022, 149: 731e-742e. PMID: 35171849, DOI: 10.1097/prs.0000000000008928.Peer-Reviewed Original ResearchConceptsPfeiffer syndrome patientsMonths of ageOrbital cavity volumeSyndrome patientsPfeiffer patientsSphenoid boneGlobe volumeAnterior positioningCLINICAL QUESTION/LEVELNormal control subjectsYears of ageSoft tissue volumeControl subjectsSignificant hypoplasiaPatientsBone volumePfeiffer syndromeVisual impairmentBony orbitAnteroposterior lengthMaxillaVolumetric analysisAgeMonthsMaterialise software
2021
Patient-reported Outcomes following Implant Removal for Breast Implant Illness
Dinis J, Junn A, Allam O, Shah R, Avraham T, Alperovich M. Patient-reported Outcomes following Implant Removal for Breast Implant Illness. Plastic & Reconstructive Surgery Global Open 2021, 9: 35-36. PMCID: PMC9556115, DOI: 10.1097/01.gox.0000799268.59577.98.Peer-Reviewed Original ResearchA Comprehensive Single-Center Analysis of Postoperative Nausea and Vomiting Following Orthognathic Surgery
Pourtaheri N, Peck CJ, Maniskas S, Park KE, Allam O, Chandler L, Smetona J, Yang J, Wilson A, Dinis J, Lopez J, Steinbacher DM. A Comprehensive Single-Center Analysis of Postoperative Nausea and Vomiting Following Orthognathic Surgery. Journal Of Craniofacial Surgery 2021, 33: 584-587. PMID: 34510064, DOI: 10.1097/scs.0000000000008052.Peer-Reviewed Original ResearchConceptsNausea/vomitingMorphine equivalentsRisk factorsOrthognathic surgeryAntiemetic medicationOpioid analgesiaOrthognathic surgical patientsPONV risk factorsPostoperative morphine equivalentsRetrospective cohort studySingle-center analysisMajority of patientsSignificant risk factorsOrthognathic surgery patientsLe Fort IAnesthesia noteApfel scoreExperienced emesisPONV reductionPostoperative opioidsProphylactic antiemeticsPostoperative nauseaCohort studyPatient demographicsSurgery patientsCommercial Artificial Intelligence Software as a Tool for Assessing Facial Attractiveness: A Proof-of-Concept Study in an Orthognathic Surgery Cohort
Peck CJ, Patel VK, Parsaei Y, Pourtaheri N, Allam O, Lopez J, Steinbacher D. Commercial Artificial Intelligence Software as a Tool for Assessing Facial Attractiveness: A Proof-of-Concept Study in an Orthognathic Surgery Cohort. Aesthetic Plastic Surgery 2021, 46: 1013-1016. PMID: 34494125, DOI: 10.1007/s00266-021-02537-4.Peer-Reviewed Original ResearchThe Impact of the SARS-CoV-2 (COVID-19) Pandemic on the 2020 to 2021 Integrated Plastic Surgery Residency Cycle
Allam O, Park KE, Hsia H, Prsic A, Alperovich M. The Impact of the SARS-CoV-2 (COVID-19) Pandemic on the 2020 to 2021 Integrated Plastic Surgery Residency Cycle. Plastic & Reconstructive Surgery 2021, 148: 696e-698e. PMID: 34495906, PMCID: PMC8452254, DOI: 10.1097/prs.0000000000008378.Peer-Reviewed Original ResearchPredictors for Prolonged Drain Use Following Autologous Breast Reconstruction
Dinis J, Allam O, Junn A, Park KE, Mozaffari MA, Shah R, Avraham T, Alperovich M. Predictors for Prolonged Drain Use Following Autologous Breast Reconstruction. Journal Of Reconstructive Microsurgery 2021, 38: 160-167. PMID: 34284504, DOI: 10.1055/s-0041-1731765.Peer-Reviewed Original ResearchConceptsDrain durationDrain useAxillary dissectionBreast reconstructionAutologous reconstructionOperation-related characteristicsMicrovascular breast reconstructionAfrican American raceAutologous breast reconstructionMicrovascular free flapsAbdominal drainBreast flapElevated BMIHispanic raceSurgical drainsRisk factorsMultivariable regressionFree flapLinear regression analysisBMIBreastUse durationHypertensionFurther studiesPoint increaseRespective Roles of Craniosynostosis and Syndromic Influences on Cranial Fossa Development
Lu X, Forte AJ, Wilson AT, Park KE, Allam O, Alperovich M, Steinbacher DM, Alonso N, Persing JA. Respective Roles of Craniosynostosis and Syndromic Influences on Cranial Fossa Development. Plastic & Reconstructive Surgery 2021, 148: 145-156. PMID: 34181610, DOI: 10.1097/prs.0000000000008101.Peer-Reviewed Original ResearchCrushed Cartilage and Autologous Fat for Dorsal Nasal Refinement
Gowda AU, Pourtaheri N, Park KE, Allam O, Maniskas S, Parsaei Y, Steinbacher DM. Crushed Cartilage and Autologous Fat for Dorsal Nasal Refinement. Aesthetic Plastic Surgery 2021, 45: 2271-2277. PMID: 33821313, DOI: 10.1007/s00266-021-02257-9.Peer-Reviewed Original ResearchConceptsGraft retentionAutologous fatDorsal heightDorsal onlay graftsLevel of evidenceEvidence IVThis journalMean age 32ResultsFourteen patientsDorsal onlayPostoperative changesPatient satisfactionUndesirable sequelaeOnlay graftAuthors wwwMedicine ratingsThree-dimensional photographsAesthetic outcomePrimary open rhinoplastyNasal appearanceAge 32Nasal aestheticsSurgeon reviewersVolumetric subtractionOpen rhinoplastyTable of ContentsA comparison of perioperative safety for breast augmentation in cis- vs . trans patients
Gabrick KS, Chouiari F, Park KE, Allam O, Mozaffari MA, Persing JA, Alperovich M. A comparison of perioperative safety for breast augmentation in cis- vs . trans patients. Annals Of Translational Medicine 2021, 9: 601-601. PMID: 33987299, PMCID: PMC8105799, DOI: 10.21037/atm-20-3355.Peer-Reviewed Original ResearchTransgender womenBreast augmentationTop surgeryExact testNational Surgical Quality Improvement Program databasePeri-operative complication ratesQuality Improvement Program databaseASA III patientsHigher comorbidity burdenPrimary augmentation mammoplastyActive smoking statusImprovement Program databaseTransgender populationCosmetic breast augmentationPeri-operative safetyGender-affirming surgeryFisher's exact testQuality of lifeComorbidity burdenHormonal therapyComplication ratePerioperative safetyASA IISurgical indicationsSmoking statusAbdominal subcutaneous fat thickness as a substitute for BMI in predicting complications in abdominally‐based autologous breast reconstruction
Dinis J, Junn A, Shah R, Allam O, Mehta S, Mozaffari MA, Avraham T, Alperovich M. Abdominal subcutaneous fat thickness as a substitute for BMI in predicting complications in abdominally‐based autologous breast reconstruction. Microsurgery 2021, 41: 341-347. PMID: 33720454, DOI: 10.1002/micr.30732.Peer-Reviewed Original ResearchConceptsAbdominal subcutaneous fat thicknessBody mass indexRecipient site complicationsBreast reconstructionFat necrosisMinor complicationsSite complicationsComputed tomographyMicrovascular free flap breast reconstructionMultivariable logistic regression analysisFree flap breast reconstructionSubcutaneous fat thicknessFlap fat necrosisL4-L5 spaceAutologous breast reconstructionFlap breast reconstructionPreoperative computed tomographyPostmastectomy breast reconstructionLogistic regression analysisMultivariable regression modelsAutologous tissue transferPatient selectionRetrospective reviewMass indexPreoperative imagingSex, Race, Insurance, and Pain: Do Patient Sociodemographics Influence Postoperative Opioid Prescriptions Among Hand Surgeons?
Peck CJ, Carney M, Chiu A, Park KE, Prassinos A, Allam O, Thomson JG, Prsic A. Sex, Race, Insurance, and Pain: Do Patient Sociodemographics Influence Postoperative Opioid Prescriptions Among Hand Surgeons? Hand 2021, 17: 1133-1138. PMID: 33682465, PMCID: PMC9608288, DOI: 10.1177/1558944721998020.Peer-Reviewed Original ResearchConceptsPostoperative opioid prescriptionsHand surgeonsOpioid prescriptionsPatient sociodemographicsChronic painSingle academic medical centerNumerous sociodemographic factorsPostoperative pain managementUndertreatment of painCertain patient populationsEvidence-based guidelinesCarpal tunnel releaseAcademic medical centerType of procedureAverage morphinePain managementBlack patientsPatient populationPrescription practicesHand surgeryRetrospective analysisMedical CenterType of insuranceSociodemographic factorsPain