2024
Risk of Postoperative Complications After Total Hip and Total Knee Arthroplasty in Behcet Syndrome Patients
Ratnasamy P, Diatta F, Allam O, Kauke-Navarro M, Grauer J. Risk of Postoperative Complications After Total Hip and Total Knee Arthroplasty in Behcet Syndrome Patients. JAAOS Global Research And Reviews 2024, 8: e24.00040. PMID: 39392934, PMCID: PMC11469891, DOI: 10.5435/jaaosglobal-d-24-00040.Peer-Reviewed Original ResearchConceptsBehcet's syndromeAdverse eventsTotal knee arthroplastyMultivariate analysisRevision surgeryRisk of postoperative complicationsRisk of perioperative adverse eventsTotal hip arthroplastyLog-rank testElixhauser Comorbidity Index scoreRetrospective cohort studyMultisystem autoimmune disorderPostoperative adverse eventsPerioperative adverse eventsComorbidity Index scoreNational administrative databaseKnee arthroplastyTotal knee arthroplasty patientsPostoperative complicationsNo significant differencePatient ageAutoimmune disordersPerioperative managementSyndrome patientsCohort study
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 sizePatients
2021
A 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 patientsRespective 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 ResearchAbdominal 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 factorsPainAirway 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 software
2020
Orthognathic Surgery in Cleidocranial Dysplasia
Pourtaheri N, Allam O, Chandler L, Steinbacher DM. Orthognathic Surgery in Cleidocranial Dysplasia. Journal Of Craniofacial Surgery 2020, 32: e290-e292. PMID: 33181614, DOI: 10.1097/scs.0000000000007205.Peer-Reviewed Original ResearchConceptsVirtual surgical planningCleidocranial dysplasiaComputed tomographyOrthognathic surgeryBilateral sagittal split osteotomyOptimal surgical correctionUse of VSPPostoperative CT measurementsSagittal split osteotomyInterpositional bone graftPostoperative examinationFat redistributionFibula graftFunctional symptomsFacial fat graftingSurgical correctionBone graftingDentofacial harmonySubmental lipectomyCraniofacial manifestationsBone graftMaxillary expansionFat graftingSkeletal expansionSurgical planningDistinguishing 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 scansRisk 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 studySpring-Assisted Strip Craniectomy Versus Cranial Vault Remodeling: Long-Term Psychological, Behavioral, and Executive Function Outcomes.
Chandler L, Allam O, Park KE, Smetona J, Gabrick KS, Wu RT, Morgan C, Park SE, Chapman LA, Couture DE, David LR, Runyan CM, Persing JA, Alperovich M. Spring-Assisted Strip Craniectomy Versus Cranial Vault Remodeling: Long-Term Psychological, Behavioral, and Executive Function Outcomes. Journal Of Craniofacial Surgery 2020, 31: 2101-2105. PMID: 32890160, DOI: 10.1097/scs.0000000000006806.Peer-Reviewed Original ResearchConceptsExecutive function outcomesExecutive functioning skillsBehavior Rating InventoryBehavior Assessment SystemSocial withdrawal symptomsExecutive functionRating InventoryBASC-2Term PsychologicalNon-syndromic sagittal synostosisCohen's dSecond editionSAS groupChildrenFunction outcomesWithdrawal symptomsPsychologicalAssessment systemBehavioralSkillsParentsCaregiversInventoryExecutivesWhat Is the Difference in Cranial Base Morphology in Isolated and Syndromic Bicoronal Synostosis?
Lu X, Forte AJ, Wilson AT, Park KE, Allam O, Mozaffari MA, Alperovich M, Steinbacher DM, Alonso N, Persing JA. What Is the Difference in Cranial Base Morphology in Isolated and Syndromic Bicoronal Synostosis? Plastic & Reconstructive Surgery 2020, 146: 599-610. PMID: 32842109, DOI: 10.1097/prs.0000000000007068.Peer-Reviewed Original ResearchManagement 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 conditionsMastectomyHyperplasiaMammoplastyMacromastiaPatientsSurgeryExcisionBreastPatients with psychiatric illness report worse patient‐reported outcomes and receive lower rates of autologous breast reconstruction
Mehta SK, Sheth AH, Olawoyin O, Chouairi F, Gabrick KS, Allam O, Park KE, Avraham T, Alperovich M. Patients with psychiatric illness report worse patient‐reported outcomes and receive lower rates of autologous breast reconstruction. The Breast Journal 2020, 26: 1931-1936. PMID: 32529691, DOI: 10.1111/tbj.13936.Peer-Reviewed Original ResearchConceptsPatient-reported outcomesPsychiatric diagnosisBreast reconstructionBinary logistic regressionAutologous reconstructionReconstructive modalityWorse patient-reported outcomesLogistic regressionBREAST-Q surveysBREAST-Q scoresAutologous breast reconstructionGeneral linear modelQuality of lifeModalities of reconstructionChi-squared testPsychiatric wellASA classificationIndependent predictorsTertiary hospitalInsurance statusImplant reconstructionRisk populationsPatientsDiagnosisModule scoresMicrosurgery in the sickle cell trait population: is it actually safe?
Abraham PF, Allam O, Park KE, Alperovich M. Microsurgery in the sickle cell trait population: is it actually safe? BMJ Case Reports 2020, 13: e234924. PMID: 32381529, PMCID: PMC7222880, DOI: 10.1136/bcr-2020-234924.Peer-Reviewed Original ResearchConceptsSickle cell traitCell traitSickle cell disease patientsSickle cell trait patientsPoor vascular flowPostoperative day 2Indocyanine green angiographySickle cell diseaseMicrovascular free flapsSickle cell disease populationVenous congestionDisease patientsGreen angiographyVenous anastomosisCell diseaseMicrovascular compromiseDisease populationFree flapPatent anastomosisDay 2Flap transferVascular flowArterial Doppler signalsPatientsOperating room