2021
The Impact of Metabolic Syndrome on Microvascular Head and Neck Reconstruction: An ACS-NSQIP data analysis
Panayi AC, Haug V, Kauke-Navarro M, Diehm YF, Pomahac B. The Impact of Metabolic Syndrome on Microvascular Head and Neck Reconstruction: An ACS-NSQIP data analysis. Journal Of Plastic Reconstructive & Aesthetic Surgery 2021, 75: 1360-1371. PMID: 34955390, DOI: 10.1016/j.bjps.2021.11.074.Peer-Reviewed Original ResearchConceptsSuperficial incisional infectionSeptic shockMedical complicationsNeck microvascular reconstructionMetS patientsMicrovascular reconstructionIncisional infectionPostoperative outcomesMetS groupMetabolic syndromeSurgical outcomesHigh rateOrgan space infectionPostoperative medical complicationsOccurrence of sepsisAverage operative timeImpact of MetSMicrovascular flap reconstructionPoor surgical outcomesSkilled care facilitySite of surgeryFree skin flapsType of flapTerms of demographicsHospital stayThe modified 5-item frailty index is a predictor of perioperative risk in head and neck microvascular reconstruction: An analysis of 3795 cases
Panayi AC, Haug V, Kauke-Navarro M, Foroutanjazi S, Diehm YF, Pomahac B. The modified 5-item frailty index is a predictor of perioperative risk in head and neck microvascular reconstruction: An analysis of 3795 cases. American Journal Of Otolaryngology 2021, 42: 103121. PMID: 34171698, DOI: 10.1016/j.amjoto.2021.103121.Peer-Reviewed Original ResearchMeSH KeywordsAgedAnastomosis, SurgicalDiabetes MellitusFemaleForecastingFrailtyHeadHeart FailureHumansHypertensionLength of StayMaleMicrovesselsMiddle AgedNeckOperative TimePlastic Surgery ProceduresPostoperative ComplicationsPulmonary Disease, Chronic ObstructiveSeverity of Illness IndexSurgical FlapsTreatment OutcomeConceptsNeck microvascular reconstructionMFI-5Microvascular reconstructionMFI scoreSubgroup analysisNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseChronic obstructive pulmonary diseaseFrailty index-5Non-home dischargeImprovement Program databaseAverage operative timeCongestive heart failureObstructive pulmonary diseasePost-operative outcomesPre-operative identificationPost-operative supportTerms of demographicsHospital stayPerioperative riskUnplanned readmissionHome dischargePostoperative outcomesYounger patientsFrailty indexEnhanced recovery and medical management after head and neck microvascular reconstruction
Gidumal S, Worrall D, Phan N, Tanella A, DeMaria S, Miles B. Enhanced recovery and medical management after head and neck microvascular reconstruction. Plastic And Aesthetic Research 2021, 8 DOI: 10.20517/2347-9264.2021.27.Peer-Reviewed Original ResearchNeck microvascular reconstructionMedical managementMicrovascular reconstructionClinical studiesAesthetic surgery
2020
Impact of Insurance Payer on Type of Breast Reconstruction Performed.
Chouairi F, Mets EJ, Gabrick KS, Dinis J, Avraham T, Alperovich M. Impact of Insurance Payer on Type of Breast Reconstruction Performed. Plastic & Reconstructive Surgery 2020, 145: 1e-8e. PMID: 31881596, DOI: 10.1097/prs.0000000000006315.Peer-Reviewed Original ResearchConceptsBreast reconstructionBreast reconstruction modalityAcademic medical centerOdds ratioMedical CenterMuscle-sparing transverse rectus abdominis myocutaneous flapPerforator flapTissue expander/implant breast reconstructionExpander/implant breast reconstructionMicrovascular autologous breast reconstructionTransverse rectus abdominis myocutaneous flapPerforator flap breast reconstructionIncome quartileCLINICAL QUESTION/LEVELReconstruction modalitiesSame academic medical centerRectus abdominis myocutaneous flapAutologous breast reconstructionFlap breast reconstructionImplant breast reconstructionHighest income quartileLowest income quartileInsurance typeMicrovascular reconstructionChi-square analysis
2019
Impact of advanced age on microvascular reconstruction of the lower facial third: An American College of Surgeons NSQIP study
Torabi SJ, Chouairi F, Dinis J, Alperovich M. Impact of advanced age on microvascular reconstruction of the lower facial third: An American College of Surgeons NSQIP study. Microsurgery 2019, 39: 487-496. PMID: 30945351, DOI: 10.1002/micr.30455.Peer-Reviewed Original ResearchConceptsMicrovascular reconstructionOperative timeNational Surgical Quality Improvement Program analysisOlder populationStandard of careImpact of ageLocal flap reconstructionLonger LOHSMore comorbiditiesNSQIP StudyHospital stayComplication rateOlder patientsPerioperative safetySubgroup analysisAdvanced ageMicrovascular flapsFlap reconstructionProcedure typeRetrospective natureAblative proceduresComparable outcomesAmerican CollegeElderly populationNeck reconstruction
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