2022
Are Opioids Out? Assessing Prescription Patterns in Plastic Surgery Using Medicare Part D Beneficiary Data
Maisner R, Song A, Zhou B, Srinivasan N, Thepmankorn P, Siniakowicz C, Ayyala H. Are Opioids Out? Assessing Prescription Patterns in Plastic Surgery Using Medicare Part D Beneficiary Data. Annals Of Plastic Surgery 2022, 88: s266-s273. PMID: 35180750, DOI: 10.1097/sap.0000000000003077.Peer-Reviewed Original ResearchConceptsOpioid prescribing ratesPlastic surgeonsOpioid prescriptionsPrescription patternsOpioid claimsOpioid epidemicPrescribing ratesPrescribed short coursesOpioid prescription patternsPostoperative pain controlReduced postoperative morbidityUse of opioidsOpioid prescription ratesPrescription drug monitoring programsEvidence-based guidelinesNonopioid agentsCross-sectional studyKruskal-Wallis testPostoperative morbidityPrescribed opioidsPostoperative painDrug monitoring programsPain controlSurgeon experiencePrescription opioids
2021
Trends in Female Plastic Surgery Resident Authorship - Signs of Changing Times?
Maisner R, Cadwell J, Mansukhani P, Naides A, Siniakowicz C, Thepmankorn P, Zingaro L, Ravikumar V, Ayyala H. Trends in Female Plastic Surgery Resident Authorship - Signs of Changing Times? Journal Of Surgical Education 2021, 79: 543-550. PMID: 34756684, DOI: 10.1016/j.jsurg.2021.09.021.Peer-Reviewed Original ResearchConceptsPlastic surgery residentsIntegrated plastic surgery residencyGender distribution of residentsPlastic surgery programsSurgery residentsAccreditation Council for Graduate Medical Education websiteFemale residentsSurgery programsPlastic surgery residency programsMann-Whitney U testDoximity Residency NavigatorSurgery residency programsMedical schoolsMedical Education websiteChi-square testTraining yearBalanced gender distributionMedical school affiliationReconstructive surgeonMale residentsMann-WhitneyU testPlastic surgeryGender distributionIQRPanniculectomy Outcomes by Body Mass Index: an Analysis of 12,732 Cases
Cadwell J, Ahsanuddin S, Ayyala H, Ignatiuk A. Panniculectomy Outcomes by Body Mass Index: an Analysis of 12,732 Cases. Obesity Surgery 2021, 31: 3660-3666. PMID: 34106398, PMCID: PMC8187133, DOI: 10.1007/s11695-021-05468-w.Peer-Reviewed Original ResearchConceptsBody mass indexBody mass index rangePostoperative complicationsMass indexNational Surgical Quality Improvement Program databaseAssociated with more postoperative complicationsMultivariate analysisQuality Improvement Program databaseNon-overweight patientsHigher body mass indexWound healing complicationsCalculate body mass indexRate of complicationsHigh BMI groupIncreasing rates of obesityPost-surgical complicationsDose-dependent mannerRates of obesityClass 3Healing complicationsPerioperative factorsWound complicationsBMI groupBariatric surgeryPanniculectomy
2020
A Three-Step Technique for Optimal Nipple Position in Transgender Chest Masculinization
Ayyala HS, Mukherjee TJ, Le TM, Cohen WA, Luthringer M, Keith JD. A Three-Step Technique for Optimal Nipple Position in Transgender Chest Masculinization. Aesthetic Surgery Journal 2020, 40: np619-np625. PMID: 32501483, DOI: 10.1093/asj/sjaa150.Peer-Reviewed Original ResearchConceptsNipple-areola complexNAC positionAnterior axillary lineMale Nipple-Areola ComplexFree nippleAxillary lineMean Likert scoreSternal notchChest masculinizationPatients' thoughtsPatientsNipple sizeSatisfaction rateAesthetic resultsGender affirmation processVertical thirdsChestTransgender populationPectoralis muscleNipple positionLikert scoresNippleThree-step techniqueAffirmation processMidlineTrends and Techniques in Gender Affirmation Surgery: Is YouTube an Effective Patient Resource?
Ayyala HS, Ward B, Mukherjee T, Paskhover B, Keith JD. Trends and Techniques in Gender Affirmation Surgery: Is YouTube an Effective Patient Resource? Plastic & Reconstructive Surgery 2020, 145: 893e-894e. PMID: 32221268, DOI: 10.1097/prs.0000000000006695.Peer-Reviewed Original Research
2019
Predictors of discharge destination after complex abdominal wall reconstruction
Ayyala H, Weisberger J, Le T, Chow A, Lee E. Predictors of discharge destination after complex abdominal wall reconstruction. Hernia 2019, 24: 251-256. PMID: 31624964, DOI: 10.1007/s10029-019-02054-z.Peer-Reviewed Original ResearchConceptsLength of stayVentral hernia repairHernia repairNon-home dischargeDecreased length of stayAssociated with non-home dischargeRisk factorsMethodsThe ACS-NSQIP databaseComplex ventral hernia repairACS-NSQIP databaseDependent functional statusPre-operative factorsIntra-operative factorsProlonged length of stayHistory of diabetesHistory of hypertensionBody mass indexMultivariate logistic regressionDecreased lengthCompare mean ageLonger operative timePost-discharge complicationsASA classificationMinimize health care costsPre-operativelyUtility of Regional Anesthesia in Extremity Reconstruction
Weisberger J, Oleck N, Ayyala H, Dalena M, Lee E. Utility of Regional Anesthesia in Extremity Reconstruction. Journal Of Reconstructive Microsurgery 2019, 36: 053-058. PMID: 31419807, DOI: 10.1055/s-0039-1694741.Peer-Reviewed Original ResearchConceptsLength of stayGeneral anesthesia groupRegional anesthesiaStatistically significant differenceGeneral anesthesiaPropensity score matchingPostoperative complicationsExtremity reconstructionMatched cohortAmerican College of Surgeons National Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseAnesthesia groupNational Surgical Quality Improvement Program databaseOperative timeQuality Improvement Program databaseShorter length of stayScore matchingWound complication rateRate of reoperationSignificant differenceAnalysis of complicationsUtilization of regional anesthesiaIncrease patient comfortRisks associated with general anesthesiaRA cohort
2015
Treatment of hip subluxation in skeletally mature patients with cerebral palsy.
Oetgen M, Ayyala H, Martin B. Treatment of hip subluxation in skeletally mature patients with cerebral palsy. Orthopedics 2015, 38: e248-52. PMID: 25901615, DOI: 10.3928/01477447-20150402-50.Peer-Reviewed Original ResearchConceptsCerebral palsyHip subluxationSkeletally mature patientsSpastic cerebral palsyMature patientsFollow-upNeck-shaft angleRadiographic abnormalitiesPalsyDemographic characteristicsNeck-shaftAverage follow-upSkeletally immature patientsHip reconstructionHipSubluxationTreat hip subluxationRadiographic outcomesHip surgeryImmature patientsInterventionMigration indexOutcomesSkeletallyIncidence of complications
2011
Light-Induced Trigeminal Sensitization without Central Visual Pathways: Another Mechanism for Photophobia
Dolgonos S, Ayyala H, Evinger C. Light-Induced Trigeminal Sensitization without Central Visual Pathways: Another Mechanism for Photophobia. Investigative Ophthalmology & Visual Science 2011, 52: 7852-7858. PMID: 21896840, PMCID: PMC3207798, DOI: 10.1167/iovs.11-7604.Peer-Reviewed Original ResearchConceptsReflex blinksTrigeminal sensitivityOptic nerveSpontaneous blinkingUrethane-anesthetized ratsTrigeminal reflex blinksOptic nerve sectionAir-puff stimuliRate of spontaneous blinkingCentral nervous systemCentral visual pathwaysCentral visual systemTrigeminal activationResponse to bright lightTrigeminal nerveTrigeminal reflexesTrigeminal stimuliNerve sectionRatsSupraorbital branchNervous systemNerveVisual pathwayBlink amplitudeBlink rate