2024
Future of autologous breast reconstruction: a review of novel technological innovations
Allam O, Foster C, Knoedler L, Knoedler S, Oh S, Pomahac B, Ayyala H. Future of autologous breast reconstruction: a review of novel technological innovations. Plastic And Aesthetic Research 2024, 11: n/a-n/a. DOI: 10.20517/2347-9264.2024.21.Peer-Reviewed Original ResearchSmooth 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
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
Predictors 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 increaseAbdominal 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 imaging
2020
Management 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 scores