2024
Quantification of Changes in Chin Morphometric Parameters Following Feminization Genioplasty.
Hu K, Parikh N, Ihnat J, Flores Perez P, Williams M, Almeida M, Allam O, Alperovich M. Quantification of Changes in Chin Morphometric Parameters Following Feminization Genioplasty. Journal Of Craniofacial Surgery 2024 PMID: 39325150, DOI: 10.1097/scs.0000000000010688.Peer-Reviewed Original ResearchChin projectionCT scanBony changesEvaluate bony changesFACE-Q scoresFacial feminization surgeryStatistically significant decreasePatient-reported outcome measuresQuality of life patient-reported outcome measuresGenioplastyFACE-QFacial harmonyPresurgical valuesChin heightFeminization surgerySurgeryChin regionPatientsCT imagesPatient outcomesSignificant decreaseOutcome measuresChinWorld Health Organization QualityFeminismTrends in Revision Facial Feminization Surgery.
Ihnat J, Hu K, Wood S, Sutherland R, Allam O, Parikh N, Alperovich M. Trends in Revision Facial Feminization Surgery. Journal Of Craniofacial Surgery 2024 PMID: 39325077, DOI: 10.1097/scs.0000000000010693.Peer-Reviewed Original ResearchFacial feminization surgeryGender-affirming surgeryFeminization surgeryFacial feminization surgery proceduresFacial feminization surgery patientsEnhance surgical outcomesHormone therapySurgical outcomesSurgical approachChart reviewLower BMIManual chart reviewPatient factorsSurgerySmoking statusPatientsTGNB patientsGender-affirming proceduresOlder ageBMIDiagnosis of transsexualismAssociated with differencesOutcomesImprove careAgeUsing the SCAR-Q to Evaluate Morbidity of Scars in Craniosynostosis Repair.
Parikh N, Hu K, Allam O, Lewis K, Ihnat J, Rancu A, Boroumand S, Persing J, Alperovich M. Using the SCAR-Q to Evaluate Morbidity of Scars in Craniosynostosis Repair. The Cleft Palate-Craniofacial Journal 2024, 10556656241272473. PMID: 39140877, DOI: 10.1177/10556656241272473.Peer-Reviewed Original ResearchSCAR-QCraniosynostosis surgeryPsychosocial impactPatient aesthetic satisfactionScar-related symptomsTime of surgeryType of surgeryPost-operative scarringPatients aged 8Higher patient dissatisfactionSurvey completionMann-Whitney UCraniosynostosis repairScar burdenSuture involvementEvaluate morbidityFemale patientsPearson correlation testScar appearanceMean agePatient characteristicsSurgeryCraniofacial conditionsMann-WhitneyPatientsQuantitative 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 reliabilityForehead
2023
Application possibilities of artificial intelligence in facial vascularized composite allotransplantation—a narrative review
Knoedler L, Knoedler S, Allam O, Remy K, Miragall M, Safi A, Alfertshofer M, Pomahac B, Kauke-Navarro M. Application possibilities of artificial intelligence in facial vascularized composite allotransplantation—a narrative review. Frontiers In Surgery 2023, 10: 1266399. PMID: 38026484, PMCID: PMC10646214, DOI: 10.3389/fsurg.2023.1266399.Peer-Reviewed Original ResearchComposite allotransplantationLong-term outcomesFacial trauma patientsSevere facial disfigurementRejection episodesSurgical treatmentTrauma patientsMalignancy screeningReconstructive surgeryClinical challengeFacial traumaPaucity of studiesReconstructive strategiesNarrative reviewPatientsFacial disfigurementAllotransplantationFuture studiesSurgeryDiagnosisTraumaDisfigurement
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 sizePatientsPerceived 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 evidenceOrbital 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
Cephalocranial Disproportionate Fossa Volume and Normal Skull Base Angle in Pfeiffer Syndrome.
Lu X, Forte AJ, Allam O, Park KE, Alperovich M, Steinbacher DM, Tonello C, Alonso N, Persing JA. Cephalocranial Disproportionate Fossa Volume and Normal Skull Base Angle in Pfeiffer Syndrome. Journal Of Craniofacial Surgery 2021, 32: 581-586. PMID: 33704985, DOI: 10.1097/scs.0000000000007203.Peer-Reviewed Original ResearchConceptsPfeiffer syndrome patientsMiddle cranial fossaCranial fossaSyndrome patientsFossa volumePfeiffer patientsSurgical interventionSuture synostosisPfeiffer syndromePreoperative CT scanPosterior cranial fossa volumeAnterior cranial fossaSkull base developmentSkull base angleClinical manifestationsCraniosynostosis disordersCT scanPosterior fossaNormal controlsAnatomic basisAnterior fossaPatientsSquamosal synostosisStructural abnormalitiesSubgroup comparisonsAirway Growth in Preoperative Patients with Crouzon Syndrome
Lu X, Forte AJ, Park KE, Allam O, Smetona J, Alperovich M, Steinbacher DM, Tonello C, Alonso N, Persing JA. Airway Growth in Preoperative Patients with Crouzon Syndrome. Facial Plastic Surgery & Aesthetic Medicine 2021, 23: 191-197. PMID: 33577380, DOI: 10.1089/fpsam.2020.0441.Peer-Reviewed Original ResearchConceptsYears of ageNasal airway volumeAirway volumeCrouzon syndromePharyngeal airwayCross-sectional areaAirway cross-sectional areaObstructive sleep apneaMonths of agePreoperative patientsSleep apneaMaximal constrictionAirway developmentAirway growthTomography scanAge subgroupsCT scanPatientsSyndromeCrouzon patientsNatural historyAgeNormal dimensionsAirwayMaterialise softwareDistinguishing craniomorphometric characteristics and severity in metopic synostosis patients
Chandler L, Park K, Allam O, Mozaffari M, Khetpal S, Smetona J, Pourtaheri N, Lu X, Persing J, Alperovich M. Distinguishing craniomorphometric characteristics and severity in metopic synostosis patients. International Journal Of Oral And Maxillofacial Surgery 2021, 50: 1040-1046. PMID: 33483210, DOI: 10.1016/j.ijom.2020.11.022.Peer-Reviewed Original Research
2020
Growth patterns of the airway in Crouzon syndrome patients with different types of cranial vault suture synostosis
Lu X, Forte AJ, Wilson A, Park KE, Allam O, Alperovich M, Steinbacher DM, Tonello C, Alonso N, Persing JA. Growth patterns of the airway in Crouzon syndrome patients with different types of cranial vault suture synostosis. International Journal Of Oral And Maxillofacial Surgery 2020, 50: 924-932. PMID: 33384236, DOI: 10.1016/j.ijom.2020.11.023.Peer-Reviewed Original ResearchConceptsAirway volumeCrouzon syndrome patientsYears of ageNasal airwaySyndrome patientsCrouzon patientsPharyngeal airwayCrouzon syndromeSuture synostosisNasopharyngeal airway volumePharyngeal airway volumeNasal airway volumeType IComputed tomography scanType IIIBilateral coronal synostosisAirway compromiseRespiratory difficultyControl subjectsTomography scanAirwayPatientsPharyngeal volumeSagittal synostosisCoronal synostosisNasopharyngeal airway and subcranial space analysis in Pfeiffer syndrome
Lu X, Forte A, Allam O, Park K, Junn A, Alperovich M, Steinbacher D, Tonello C, Alonso N, Persing J. Nasopharyngeal airway and subcranial space analysis in Pfeiffer syndrome. British Journal Of Oral And Maxillofacial Surgery 2020, 59: 592-598. PMID: 33863588, DOI: 10.1016/j.bjoms.2020.10.008.Peer-Reviewed Original ResearchConceptsAirway volumeNasal airwayPfeiffer syndromeNasopharyngeal airwayPharyngeal airwayComputed tomogramsCross-sectional areaPharyngeal airway volumeNasal airway volumePreoperative computed tomogramsMaxillomandibular advancementRespiratory crisisSurgical treatmentUpper airwayChoanal stenosisAirwayPatientsNasal pathwayMaxillary expansionRegional abnormalitiesSyndromeAnteroposterior dimensionAnatomical basisAnteroposterior lengthPosterior widthNeurological Functional Connectivity in Unilateral Coronal Synostosis: A Side-Based Comparison
Park KE, Singh A, Lacadie C, Allam O, Smetona J, Alperovich M, Persing JA. Neurological Functional Connectivity in Unilateral Coronal Synostosis: A Side-Based Comparison. Journal Of Craniofacial Surgery 2020, 32: 910-914. PMID: 33252527, DOI: 10.1097/scs.0000000000007274.Peer-Reviewed Original ResearchConceptsUCS patientsUnicoronal synostosisMotor coordinationFunctional connectivitySeed connectivity analysesLong-term sequelaeState functional MRIIntrinsic connectivity distributionComplex motor movementsVisuo-spatial functionUnilateral coronal synostosisVisuo-motor coordinationHealthy controlsMotor functionVisual functionVisual information processingOccipital lobeNeurocognitive impairmentTemporal cortexPatientsParietal lobeIntrinsic connectivityFunctional MRIBrodmann areasSeed connectivityDistinguishing Craniomorphometric Characteristics of Unilateral Lambdoid Craniosynostosis.
Allam O, Park KE, Pourtaheri N, Mozaffari MA, Smetona J, Lu X, Ahmad M, Persing JA, Alperovich M. Distinguishing Craniomorphometric Characteristics of Unilateral Lambdoid Craniosynostosis. Journal Of Craniofacial Surgery 2020, 32: 125-129. PMID: 33156173, DOI: 10.1097/scs.0000000000007098.Peer-Reviewed Original ResearchConceptsUnilateral lambdoid synostosisUL patientsDeformational plagiocephalySingle-suture nonsyndromic craniosynostosisPosterior deformational plagiocephalyUnilateral lambdoid craniosynostosisDP patientsClinical findingsPathological characteristicsRare formPatientsAnterior midlineLambdoid craniosynostosisMajority maleCT imagingLambdoid synostosisNonsyndromic craniosynostosisReliable indicatorSignificant differencesLambdoid sutureSide earCraniosynostosisScansEarPatient scansAirway Development Relevant to Cranial Vault Suture Synostosis Subtype in Apert Syndrome
Lu X, Forte A, Park K, Allam O, Steinbacher D, Alperovich M, Passos-Bueno M, Tonello C, Alonso N, Persing J. Airway Development Relevant to Cranial Vault Suture Synostosis Subtype in Apert Syndrome. FACE 2020, 1: 89-96. DOI: 10.1177/2732501620973030.Peer-Reviewed Original ResearchPharyngeal airwayAirway volumeNasal airwayApert patientsCT scanNasal cavityCross-sectional areaApert syndromeSuture synostosisNasopharyngeal airway volumePharyngeal airway volumeAirway volume changesDecreased cross-sectional areaType IIIBilateral coronal synostosisType IIAirway developmentSyndrome subtypesCranial base angulationAirwayEstablished classification systemPatientsSurgical planningSectional areaCoronal synostosisRacial Disparities in Complications, Length of Stay, and Costs Among Patients Receiving Orthognathic Surgery in the United States
Peck CJ, Pourtaheri N, Shultz BN, Parsaei Y, Yang J, Park KE, Allam O, Steinbacher D. Racial Disparities in Complications, Length of Stay, and Costs Among Patients Receiving Orthognathic Surgery in the United States. Journal Of Oral And Maxillofacial Surgery 2020, 79: 441-449. PMID: 33058772, DOI: 10.1016/j.joms.2020.09.023.Peer-Reviewed Original ResearchConceptsLength of stayWhite patientsOrthognathic surgeryRace/ethnicityHispanic patientsCongenital anomaliesHospital LOSAsian/Pacific Islander patientsProportion of patientsPacific Islander patientsKids' Inpatient DatabasePoor health outcomesAsian/Pacific IslandersDifferent races/ethnicitiesSurgical cohortComplication ratePrimary outcomeClinical manifestationsLatino patientsPreoperative diagnosisInpatient DatabaseKID databaseMultivariable regressionPatientsComplicationsDoes Surgical Specialty Impact Mandibular Fracture Outcomes?
Sun A, Nguyen K, Mehta SK, Allam O, Park KE, Alperovich M. Does Surgical Specialty Impact Mandibular Fracture Outcomes? Journal Of Craniofacial Surgery 2020, 32: 855-858. PMID: 32941216, DOI: 10.1097/scs.0000000000007046.Peer-Reviewed Original ResearchConceptsReoperation rateReadmission ratesFracture managementInfection rateNational Surgical Quality Improvement ProgramHigher ASA class patientsSurgical Quality Improvement ProgramComparable perioperative outcomesLength of staySignificant differencesQuality Improvement ProgramHigh ratePRS patientsPerioperative outcomesPatient agePatient demographicsFracture outcomesOperative timeENT patientsAdverse outcomesClass patientsMaxillofacial traumaPractice patternsPatientsPRS groupRisk of peri-operative complications in children receiving preoperative steroids
Mets EJ, Chouairi F, Mirza H, Allam O, Park KE, Junn A, Alperovich M. Risk of peri-operative complications in children receiving preoperative steroids. Pediatric Surgery International 2020, 36: 1345-1352. PMID: 32918623, DOI: 10.1007/s00383-020-04742-9.Peer-Reviewed Original ResearchConceptsAdverse eventsPediatric patientsSteroid usePreoperative steroidsNational Surgical Quality Improvement Project Pediatric databaseThirty-day adverse eventsPropensity scorePostoperative adverse eventsPeri-operative complicationsPediatric surgery patientsSimilar larger studiesMore comorbiditiesPerioperative impactHospital stayPerioperative complicationsAdult patientsPatient demographicsSteroid treatmentSurgery patientsSurgical variablesWound dehiscenceSurgical outcomesPediatric databasePatientsLarger studyManagement of recurrent bilateral multifocal pseudoangiomatous stromal hyperplasia (PASH)
Xu X, Persing SM, Allam O, Park KE, Mozaffari MA, Lannin DR, Bossuyt V, Alperovich M. Management of recurrent bilateral multifocal pseudoangiomatous stromal hyperplasia (PASH). The Breast Journal 2020, 26: 1814-1817. PMID: 32562297, DOI: 10.1111/tbj.13950.Peer-Reviewed Original ResearchConceptsPseudoangiomatous stromal hyperplasiaStromal hyperplasiaBilateral mastectomyReduction mammoplastyTwo-stage implant-based breast reconstructionImplant-based breast reconstructionExcellent aesthetic outcomesPain reliefBreast enlargementStandard treatmentBreast reconstructionFocal excisionReconstructive surgeryRare caseConservative optionsAesthetic outcomeHyperplastic conditionsMastectomyHyperplasiaMammoplastyMacromastiaPatientsSurgeryExcisionBreast