2024
Finesse in Gender Affirming Frontal Contouring With Corrugator Resection
Hu K, Ihnat J, Parikh N, Vassallo M, Almeida M, Alper D, Prassinos A, Aral A, Vasquez T, Alperovich M. Finesse in Gender Affirming Frontal Contouring With Corrugator Resection. Aesthetic Surgery Journal Open Forum 2024, ojae108. DOI: 10.1093/asjof/ojae108.Peer-Reviewed Original ResearchSupraorbital nerveBrow contourCorrugator resectionFollow-up visitFacial feminization surgeryYears of ageTransgender female patientsMuscle resectionFemale patientsPost-operativelyBone reductionForehead flapFeminization surgeryRevision surgeryResectionPatientsPatient satisfactionSoft tissueWound healingSurgeryForeheadForehead aestheticsNerveFrequent componentFrontal contourQuantification 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 reliabilityForeheadQuantification of Cephalometric Changes in Gonial Angle Morphology Following Facial Feminization Surgery.
Ihnat J, Hu K, Parikh N, Almeida M, Williams M, Hauc S, Alperovich M. Quantification of Cephalometric Changes in Gonial Angle Morphology Following Facial Feminization Surgery. Journal Of Craniofacial Surgery 2024 PMID: 38953586, DOI: 10.1097/scs.0000000000010458.Peer-Reviewed Original ResearchFacial feminization surgeryPatient satisfactionFeminization surgeryWorld Health Organization Quality of LifeIncreased post-operativelyImproved surgical techniquesGender-affirming surgeryCephalometric changesMandibular contourComputerized tomography imagesPost-operativelyFACE-QSurgical techniqueAngle morphologyPatientsBony changesQuality of lifeSurgeryMasculine facial featuresTomography imagesWorld Health Organization QualityFeminine facesPsychological scoresPsychological functioningJawline110. Systematic Underrepresentation Of Hispanic Pediatric Craniofacial Patients In National Surgical Databases
Hu K, Fereydooni S, Kammien A, Rivera J, Parikh N, Ihnat J, Alperovich M. 110. Systematic Underrepresentation Of Hispanic Pediatric Craniofacial Patients In National Surgical Databases. Plastic & Reconstructive Surgery Global Open 2024, 12: 72-73. PMCID: PMC11041361, DOI: 10.1097/01.gox.0001015528.63882.93.Peer-Reviewed Original Research
2023
Facial Lacerations Related to Recreational Activities: A National 10-Year Evaluation From US Emergency Departments
Hauc S, Huelsboemer L, Lewis K, Hosseini H, Williams M, Rivera J, Alperovich M. Facial Lacerations Related to Recreational Activities: A National 10-Year Evaluation From US Emergency Departments. Craniomaxillofacial Trauma & Reconstruction 2023, 17: 238-243. PMID: 39372229, PMCID: PMC11451520, DOI: 10.1177/19433875231211757.Peer-Reviewed Original ResearchNational Electronic Injury Surveillance SystemFacial lacerationsWhite adultsElectronic Injury Surveillance SystemEmergency department visitsUS emergency departmentsInjury Surveillance SystemMajority of casesRetrospective cohortDepartment visitsMale patientsEmergency departmentRecreational activitiesSuch injuriesCommon causeHigh riskLacerationYoung white adultsInjuryPatientsStudy periodExercise equipmentSurveillance systemRepresentative sampleAdultsBreast implant capsule-associated squamous cell carcinoma: A systematic review and individual patient data meta-analysis
Yeow M, Ching A, Guillon C, Alperovich M. Breast implant capsule-associated squamous cell carcinoma: A systematic review and individual patient data meta-analysis. Journal Of Plastic Reconstructive & Aesthetic Surgery 2023, 86: 24-32. PMID: 37666057, DOI: 10.1016/j.bjps.2023.08.002.Peer-Reviewed Original ResearchConceptsIndividual patient dataSCC diagnosisPatient dataSystematic reviewJoanna Briggs Institute critical appraisal toolsDisease-free survivalMajority of patientsSquamous cell carcinomaRisk of biasRisk of malignancyCritical appraisal toolExtracapsular spreadMean followOverall survivalMedian ageMedian timeCell carcinomaBreast implantationImplant removalPatientsBreast augmentationUS FoodDrug AdministrationBreast implantsAppraisal toolChanging Faces: Factors Associated with the Intention to Pursue Plastic Surgery and Practice in Underserved Areas
Nguyen M, Kaminaka A, Brutus N, Gonzalez L, Ratanpal A, Alperovich M, Jeffe D, Ata A, Mason H, Butler P. Changing Faces: Factors Associated with the Intention to Pursue Plastic Surgery and Practice in Underserved Areas. Plastic & Reconstructive Surgery Global Open 2023, 11: e5177. PMID: 37577250, PMCID: PMC10419697, DOI: 10.1097/gox.0000000000005177.Peer-Reviewed Original ResearchPlastic surgeryUnderserved areasPlastic surgery serviceUnderserved communitiesSurgery serviceReconstructive surgerySurgeryUS medical school graduatesMultivariate analysisReconstructive surgeonMedical CollegeHealth equitySurgical specialtiesMedical school graduatesUS medical studentsFuture practice intentionsMedical traineesNon-Hispanic white studentsPractice intentionsMedical studentsMedical students' intentionsPatientsCohortAmerican Medical CollegesSurgeons
2020
Does 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 studyWorse overall health status negatively impacts satisfaction with breast reconstruction
Mehta SK, Olawoyin O, Chouairi F, Duy PQ, Mets EJ, Gabrick KS, Le NK, Avraham T, Alperovich M. Worse overall health status negatively impacts satisfaction with breast reconstruction. Journal Of Plastic Reconstructive & Aesthetic Surgery 2020, 73: 2056-2062. PMID: 32972879, DOI: 10.1016/j.bjps.2020.08.093.Peer-Reviewed Original ResearchConceptsBREAST-Q scoresPatient-reported outcomesOverall health statusBreast reconstructionOverall healthASA classificationHealth statusGeneral linear modelAnesthesiologists physical status classificationYale-New Haven HospitalWorse overall health statusBREAST-Q outcomesHealth-related qualityPhysical status classificationNew Haven HospitalEffect of ASAASA 1Independent predictorsPatient factorsPostoperative satisfactionBreast surgeryPatient satisfactionASA 2PatientsRelevant covariatesManagement 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 scoresAssessing Facial Asymmetry in Postoperative Patients With Unilateral Coronal Craniosynostosis.
Gabrick KS, Wu RT, Singh A, Bartlett SP, Taylor JA, Persing JA, Alperovich M. Assessing Facial Asymmetry in Postoperative Patients With Unilateral Coronal Craniosynostosis. Journal Of Craniofacial Surgery 2020, 31: 1000-1005. PMID: 32176017, DOI: 10.1097/scs.0000000000006355.Peer-Reviewed Original ResearchConceptsUnilateral craniosynostosisPatient-reported outcomesFacial asymmetrySurgical correctionPatient-reported outcome scoresPercent of patientsOrbital dystopiaSchool-aged patientsDysmorphic facial featuresUnilateral coronal craniosynostosisChin point deviationPostoperative patientsOutcome scoresChildren's HospitalPreoperative deformityPearson correlationPatientsAverage ageCranial base angulationRoot angulationOverall facial asymmetryNasal rootAngulationCoronal craniosynostosisHospitalMicrosurgery 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 roomDiscussion: Primary Rhinoplasty Does Not Interfere with Nasal Growth: A Long-Term Three-Dimensional Morphometric Outcome Study in Patients with Unilateral Cleft.
Alperovich M. Discussion: Primary Rhinoplasty Does Not Interfere with Nasal Growth: A Long-Term Three-Dimensional Morphometric Outcome Study in Patients with Unilateral Cleft. Plastic & Reconstructive Surgery 2020, 145: 1237-1238. PMID: 32332543, DOI: 10.1097/prs.0000000000006795.Peer-Reviewed Original ResearchRacial disparity of Crouzon syndrome in maxilla and mandible
Lu X, Forte AJ, Fan F, Zhang Z, Teng L, Yang B, Alperovich M, Steinbacher DM, Alonso N, Persing JA. Racial disparity of Crouzon syndrome in maxilla and mandible. International Journal Of Oral And Maxillofacial Surgery 2020, 49: 1566-1575. PMID: 32362538, DOI: 10.1016/j.ijom.2020.04.005.Peer-Reviewed Original ResearchConceptsAsian patientsCaucasian patientsCrouzon syndrome patientsCrouzon syndromeSyndrome patientsRacial disparitiesAnteroposterior maxillary lengthMidface profileTomography scanPatientsMandibular volumeCaucasian controlsCraniosynostosis patientsMaxillary positioningMaxillary lengthSyndromeVolume deficiencyANB angleAsian controlsMandibular lengthBackward displacementMaterialise softwareMaxillaSame extentMaxilla lengthImpact of socioeconomic status on psychological functioning in survivorship following breast cancer and reconstruction
Le NK, Gabrick KS, Chouairi F, Mets EJ, Avraham T, Alperovich M. Impact of socioeconomic status on psychological functioning in survivorship following breast cancer and reconstruction. The Breast Journal 2020, 26: 1695-1701. PMID: 32337778, DOI: 10.1111/tbj.13849.Peer-Reviewed Original ResearchConceptsPatients' socioeconomic statusQuality of lifeBreast reconstructionBreast cancerSocioeconomic statusCancer treatmentPatient-reported outcome measuresSingle academic centerInitial cancer treatmentBreast cancer treatmentPopulation health risk factorsHealth risk factorsLow socioeconomic statusHigher socioeconomic statusStudy time periodBaseline comorbiditiesCancer stageRisk factorsOutcome measuresAnalysis of covariancePatient experienceAcademic centersPatientsSignificant positive correlationSatisfaction domains