2024
Safety Profile Comparison of 2 Smooth Tissue Expander Types
Almeida M, Alper D, Williams M, Shah R, Ihnat J, Hu K, Parikh N, Alperovich M. Safety Profile Comparison of 2 Smooth Tissue Expander Types. Annals Of Plastic Surgery 2024, 93: 178-182. PMID: 38980932, DOI: 10.1097/sap.0000000000004019.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesTissue ExpansionTissue Expansion DevicesTreatment OutcomeConceptsBody mass indexComplication rateDrain durationMass indexAcellular dermal matrix useRetrospective review of patientsReview of patientsHigher body mass indexSmooth tissue expandersPain scoresChemotherapy exposureRetrospective reviewCapsular contractureSmooth implantsSafety profileWound breakdownFilling volumePatient comorbiditiesPerioperative informationCancer characteristicsMultivariate analysisComplicationsTissue expanderRadiation exposureMatrix use
2020
Surgical Outcomes of Mastectomy with Immediate Autologous Reconstruction Followed by Radiation
Heller DR, Zhuo H, Zhang Y, Parikh N, Fusi S, Alperovich M, Lannin DR, Higgins SA, Avraham T, Killelea BK. Surgical Outcomes of Mastectomy with Immediate Autologous Reconstruction Followed by Radiation. Annals Of Surgical Oncology 2020, 28: 2169-2179. PMID: 32974699, DOI: 10.1245/s10434-020-09122-0.Peer-Reviewed Original ResearchMeSH KeywordsBreast NeoplasmsFemaleFollow-Up StudiesHumansMammaplastyMastectomyPostoperative ComplicationsRadiotherapy, AdjuvantRetrospective StudiesTreatment OutcomeConceptsPostmastectomy radiation therapyLarge institutional cohortProbability of complicationsImmediate autologous reconstructionAutologous reconstructionMultivariable analysisInstitutional cohortFlap outcomesRadiation-related complicationsRisk of complicationsChest wall asymmetryMethodsMedical recordsNodal radiationMedian followNeoadjuvant chemotherapyPrimary endpointResultsOne hundredSurgical outcomesFat necrosisFlap complicationsImmediate reconstructionReoperationRadiation therapyComplicationsFat graftingDoes 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 ResearchMeSH KeywordsAdultHumansMandibleMandibular FracturesPatient ReadmissionPostoperative ComplicationsRetrospective StudiesSurgery, PlasticConceptsReoperation 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 ResearchMeSH KeywordsAdolescentChildChild, PreschoolFemaleGlucocorticoidsHumansIncidenceInfantLength of StayMalePerioperative CarePostoperative ComplicationsPropensity ScoreRisk FactorsUnited StatesConceptsAdverse 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 study
2019
Veau III and Veau IV Cleft Palate: Do Peri-Operative Complications Differ?
Chouairi F, Mets EJ, Gabrick KS, Alperovich M. Veau III and Veau IV Cleft Palate: Do Peri-Operative Complications Differ? Journal Of Craniofacial Surgery 2019, 30: 2372-2374. PMID: 31584550, DOI: 10.1097/scs.0000000000005918.Peer-Reviewed Original ResearchRisk Factors for Readmission After Cleft Lip Repair.
Chouairi F, Mercier MR, Mets EJ, Alperovich M. Risk Factors for Readmission After Cleft Lip Repair. Journal Of Craniofacial Surgery 2019, 30: 2042-2044. PMID: 31403505, DOI: 10.1097/scs.0000000000005780.Peer-Reviewed Original ResearchMeSH KeywordsCleft LipDatabases, FactualHumansLogistic ModelsPatient ReadmissionPostoperative ComplicationsQuality ImprovementReoperationRisk FactorsConceptsCleft lip repairSeizure disorderSteroid useLip repairRisk factorsNational Surgical Quality Improvement Program Pediatric databaseDeep incisional surgical site infectionStructural central nervous system abnormalitiesSurgeons National Surgical Quality Improvement Program Pediatric databaseIncisional surgical site infectionThirty-day readmission ratesCentral nervous system abnormalitiesDeep wound dehiscenceSurgical site infectionManagement of patientsNational surgical databaseNervous system abnormalitiesCommon craniofacial malformationBinary logistic regressionReadmitted patientsUnplanned intubationPatient demographicsReadmission ratesNutritional supportSite infectionHead and Neck Reconstructive Surgery: Characterization of the One-Team and Two-Team Approaches
Torabi SJ, Chouairi F, Dinis J, Alperovich M. Head and Neck Reconstructive Surgery: Characterization of the One-Team and Two-Team Approaches. Journal Of Oral And Maxillofacial Surgery 2019, 78: 295-304. PMID: 31622570, DOI: 10.1016/j.joms.2019.09.011.Peer-Reviewed Original ResearchMeSH KeywordsFree Tissue FlapsHead and Neck NeoplasmsHumansPlastic Surgery ProceduresPostoperative ComplicationsRetrospective StudiesRisk FactorsConceptsLonger operative timeMicrovascular free flapsOperative timeReconstructive surgeryFree flapNational Surgical Quality Improvement ProgramPropensity scoreSurgical Quality Improvement ProgramOperating roomHigher American SocietyIncidence of complicationsRate of complicationsNeck reconstructive surgeryLength of stayComplicated reconstructive proceduresQuality Improvement ProgramConcurrent headNeck OncosurgeryAnesthesiologists classificationPostoperative staySurgery groupComplication rateReconstructive headRetrospective studyNeck proceduresPredictors of Adverse Events Following Cleft Palate Repair.
Mets EJ, Chouairi F, Torabi SJ, Alperovich M. Predictors of Adverse Events Following Cleft Palate Repair. Journal Of Craniofacial Surgery 2019, 30: 1414-1418. PMID: 31299734, DOI: 10.1097/scs.0000000000005542.Peer-Reviewed Original ResearchMeSH KeywordsCleft PalateFemaleHospitalizationHumansInfantLength of StayMaleMultivariate AnalysisPostoperative ComplicationsQuality ImprovementReoperationRisk FactorsConceptsCleft palate repairPerioperative blood transfusionBronchopulmonary dysplasia/chronic lung diseaseAdverse eventsChronic lung diseaseBlood transfusionPalate repairRisk factorsCerebral palsyLung diseaseNational Surgical Quality Improvement Project Pediatric databasePrimary cleft palate repairWound dehiscence rateSurgical risk factorsThirty-day readmissionIntraoperative adverse eventsPost-surgical complicationsSystemic risk factorsCleft palate surgeryYears of ageLife-threatening risksReoperation rateProlonged lengthPulmonary diseaseRisk stratificationImpact of advanced age on microvascular reconstruction of the lower facial third: An American College of Surgeons NSQIP study
Torabi SJ, Chouairi F, Dinis J, Alperovich M. Impact of advanced age on microvascular reconstruction of the lower facial third: An American College of Surgeons NSQIP study. Microsurgery 2019, 39: 487-496. PMID: 30945351, DOI: 10.1002/micr.30455.Peer-Reviewed Original ResearchConceptsMicrovascular reconstructionOperative timeNational Surgical Quality Improvement Program analysisOlder populationStandard of careImpact of ageLocal flap reconstructionLonger LOHSMore comorbiditiesNSQIP StudyHospital stayComplication rateOlder patientsPerioperative safetySubgroup analysisAdvanced ageMicrovascular flapsFlap reconstructionProcedure typeRetrospective natureAblative proceduresComparable outcomesAmerican CollegeElderly populationNeck reconstructionComplication Profiles by Mastectomy Indication in Tissue Expander Breast Reconstruction
Chouairi F, Gabrick KS, Avraham T, Markov NP, Alperovich M. Complication Profiles by Mastectomy Indication in Tissue Expander Breast Reconstruction. Plastic & Reconstructive Surgery 2019, Publish Ahead of Print: &na;. PMID: 30730496, DOI: 10.1097/prs.0000000000005423.Peer-Reviewed Original ResearchConceptsMastectomy flap necrosisTwo-stage implant breast reconstructionImplant breast reconstructionFlap necrosisBreast reconstructionHigh riskProphylactic mastectomyTherapeutic mastectomyMastectomy indicationExact testTissue expander breast reconstructionCLINICAL QUESTION/LEVELYale-New Haven HospitalPermanent implant reconstructionExpander breast reconstructionTimes higher riskFisher's exact testNew Haven HospitalSignificant differencesBreast reconstruction proceduresBinary logistic regressionReconstructive complicationsBreast groupPerioperative complicationsComplication rateChronic steroid use as an independent risk factor for perioperative complications
Chouairi F, Torabi SJ, Mercier MR, Gabrick KS, Alperovich M. Chronic steroid use as an independent risk factor for perioperative complications. Surgery 2019, 165: 990-995. PMID: 30765140, DOI: 10.1016/j.surg.2018.12.016.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedFemaleGlucocorticoidsHumansIntraoperative ComplicationsMaleMiddle AgedPerioperative PeriodPostoperative ComplicationsRisk FactorsSurgical Procedures, OperativeTime FactorsConceptsChronic steroid useSteroid useSurgical outcomesChronic steroidsPerioperative outcomesNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseLogistic regressionPerioperative surgical outcomesImprovement Program databaseIndependent risk factorRisk of readmissionPoor perioperative outcomesRisk of reoperationPoor surgical outcomesRisk of deathMore comorbiditiesCorticosteroid usePerioperative complicationsPatient demographicsSurgical cohortSurgical complicationsSurgical patientsRisk factorsOdds ratioPersistent disparities in breast cancer surgical outcomes among hispanic and African American patients
Mets EJ, Chouairi FK, Gabrick KS, Avraham T, Alperovich M. Persistent disparities in breast cancer surgical outcomes among hispanic and African American patients. European Journal Of Surgical Oncology 2019, 45: 584-590. PMID: 30683449, DOI: 10.1016/j.ejso.2019.01.016.Peer-Reviewed Original ResearchMeSH KeywordsAdultAsianBlack or African AmericanBreast NeoplasmsChemotherapy, AdjuvantComorbidityDiabetes MellitusFemaleHealth Status DisparitiesHispanic or LatinoHospitals, High-VolumeHospitals, UniversityHumansHypertensionMammaplastyMastectomyMiddle AgedNeoadjuvant TherapyObesityPostoperative ComplicationsRadiotherapy, AdjuvantSmokingTreatment OutcomeWhite PeopleConceptsAfrican American patientsAmerican patientsNeoadjuvant chemotherapyComplication ratePost-surgical complication rateHigher overall complication rateHigh rateHigher comorbidity burdenOverall complication ratePrior abdominal surgeryASA class IIIMastectomy flap necrosisRecords of patientsNipple-sparing mastectomyUniversity-affiliated hospitalCancer surgical outcomesHistory of radiationBreast cancer profilesComorbidity burdenReconstructive complicationsPrior radiationOncologic characteristicsPatient demographicsAbdominal surgeryBreast mastectomy
2018
National Longitudinal Comparison of Patients Undergoing Surgical Management of Craniosynostosis
Wu RT, Shultz BN, Gabrick KS, Abraham PF, Cabrejo R, Persing JA, Alperovich M. National Longitudinal Comparison of Patients Undergoing Surgical Management of Craniosynostosis. Journal Of Craniofacial Surgery 2018, 29: 1755-1759. PMID: 30095569, DOI: 10.1097/scs.0000000000004775.Peer-Reviewed Original ResearchConceptsCranial vault remodelingCVR patientsLength of stayPrivate insuranceStrip craniectomyInpatient DatabaseCraniectomy patientsVault remodelingKids' Inpatient DatabaseNonsyndromic craniosynostosis patientsCraniosynostosis managementInsurancePostsurgical complicationsSurgical managementHospital chargesTreatment optionsLongitudinal comparisonHospital characteristicsSerum transfusionMedicaid patientsAccidental punctureSurgical preferenceCraniectomyPatientsMultivariate analysisEvolution in Monitoring of Free Flap Autologous Breast Reconstruction after Nipple-Sparing Mastectomy
Frey JD, Stranix JT, Chiodo MV, Alperovich M, Ahn CY, Allen RJ, Choi M, Karp NS, Levine JP. Evolution in Monitoring of Free Flap Autologous Breast Reconstruction after Nipple-Sparing Mastectomy. Plastic & Reconstructive Surgery 2018, 141: 1086-1093. PMID: 29659449, DOI: 10.1097/prs.0000000000004271.Peer-Reviewed Original ResearchMeSH KeywordsAdultBreastBreast NeoplasmsFemaleFree Tissue FlapsHumansMammaplastyMastectomy, SubcutaneousMiddle AgedNipplesPatient SatisfactionPerforator FlapPostoperative CarePostoperative ComplicationsReoperationRetrospective StudiesTransplantation, AutologousTreatment OutcomeUltrasonography, DopplerConceptsNipple-sparing mastectomyFree flap reconstructionSkin paddleFlap reconstructionAutologous reconstructionRevision proceduresMuscle-sparing transverse rectus abdominis myocutaneous flapFree flap autologous breast reconstructionAutologous free flap reconstructionTransverse rectus abdominis myocutaneous flapGreater body mass indexCLINICAL QUESTION/LEVELPercentage of flapsProfunda artery perforatorRectus abdominis myocutaneous flapAutologous breast reconstructionBody mass indexInferior epigastric perforatorGreater mean numberMass indexFlap weightMastectomy weightComparing outcomesBreast reconstructionMastectomy reconstruction
2017
Does Smoking History Confer a Higher Risk for Reconstructive Complications in Nipple‐Sparing Mastectomy?
Frey JD, Alperovich M, Levine JP, Choi M, Karp NS. Does Smoking History Confer a Higher Risk for Reconstructive Complications in Nipple‐Sparing Mastectomy? The Breast Journal 2017, 23: 415-420. PMID: 28097778, DOI: 10.1111/tbj.12760.Peer-Reviewed Original ResearchMeSH KeywordsBreast NeoplasmsCase-Control StudiesFemaleHumansMastectomy, SubcutaneousMiddle AgedNecrosisNipplesPostoperative ComplicationsRisk FactorsSmokingSurgical FlapsConceptsPack-year smoking historyNipple-sparing mastectomyComplete NAC necrosisHistory of smokingSmoking historyReconstructive complicationsNAC necrosisHigh riskNipple-areola complex necrosisNew York University Langone Medical CenterPack-year historyMastectomy flap necrosisActive smokersFlap necrosisRisk factorsMedical CenterReconstructive outcomesComplicationsMastectomyNecrosisNonsmokersOutcomesSmokersSmokingPatients
2015
Treatment of Nipple-Sparing Mastectomy Necrosis Using Hyperbaric Oxygen Therapy
Alperovich M, Harmaty M, Chiu ES. Treatment of Nipple-Sparing Mastectomy Necrosis Using Hyperbaric Oxygen Therapy. Plastic & Reconstructive Surgery 2015, 135: 1071e-1072e. PMID: 25724049, DOI: 10.1097/prs.0000000000001229.Peer-Reviewed Original Research
2014
Reconstructive Approach for Patients With Augmentation Mammaplasty Undergoing Nipple-Sparing Mastectomy
Alperovich M, Choi M, Frey JD, Karp NS. Reconstructive Approach for Patients With Augmentation Mammaplasty Undergoing Nipple-Sparing Mastectomy. Aesthetic Surgery Journal 2014, 34: 1059-1065. PMID: 25028736, DOI: 10.1177/1090820x14541958.Peer-Reviewed Original ResearchConceptsNipple-sparing mastectomyReconstructive complicationsNipple-areola complexNAC necrosisComplete NAC necrosisPartial NAC necrosisPrevious breast augmentationMastectomy flap necrosisNew York University Langone Medical CenterImplant-based reconstructionMicrovascular free flapsBreast cellulitisNSM reconstructionPrevious augmentationPrior augmentationPatient characteristicsFlap necrosisMedical recordsMinimal complicationsPartial necrosisProphylactic managementCapsular contractureFisher's exactBreast cancerLarge cohortNipple-Sparing Mastectomy in Patients with Prior Breast Irradiation
Alperovich M, Choi M, Frey JD, Lee ZH, Levine JP, Saadeh PB, Shapiro RL, Axelrod DM, Guth AA, Karp NS. Nipple-Sparing Mastectomy in Patients with Prior Breast Irradiation. Plastic & Reconstructive Surgery 2014, 134: 202e-206e. PMID: 25068341, DOI: 10.1097/prs.0000000000000321.Peer-Reviewed Original ResearchMeSH KeywordsAdultBreast NeoplasmsFemaleFollow-Up StudiesHumansMammaplastyMastectomy, SubcutaneousMiddle AgedPostoperative ComplicationsRadiotherapy, AdjuvantRisk FactorsTreatment OutcomeConceptsNipple-sparing mastectomyNipple-areola complex necrosisPrior breast irradiationMastectomy flap necrosisHigh-risk procedureBreast irradiationFlap necrosisComplete nipple-areola complex necrosisNipple-sparing mastectomy patientsHigh-risk patientsBody mass indexLatissimus dorsi flapMicrovascular free flapsSignificant differencesMastectomy cohortComplex complicationsImplant explantationMass indexMastectomy patientsCapsular contracturePartial necrosisAutologous reconstructionComplete necrosisIrradiated groupFree flapReply
Alperovich M, Choi M, Karp NS. Reply. Plastic & Reconstructive Surgery 2014, 133: 716e. PMID: 24776578, DOI: 10.1097/prs.0000000000000126.Peer-Reviewed Original ResearchBreast NeoplasmsFemaleHumansMammaplastyMastectomyNeoplasm Recurrence, LocalNipplesPostoperative Complications
2013
Nipple-Sparing Mastectomy in Patients with a History of Reduction Mammaplasty or Mastopexy
Alperovich M, Tanna N, Samra F, Blechman KM, Shapiro RL, Guth AA, Axelrod DM, Choi M, Karp NS. Nipple-Sparing Mastectomy in Patients with a History of Reduction Mammaplasty or Mastopexy. Plastic & Reconstructive Surgery 2013, 131: 962-967. PMID: 23629078, DOI: 10.1097/prs.0b013e3182865ad2.Peer-Reviewed Original ResearchConceptsNipple-sparing mastectomyAuthors' institutionMean body mass indexCLINICAL QUESTION/LEVELMastectomy flap necrosisSubset of patientsNipple-sparing mastectomiesBody mass indexBreast cancer recurrenceLatissimus dorsi flapPresence of cancerNipple-areola complexMass indexProphylactic indicationsFlap necrosisMean agePatient populationBiopsy resultsMastectomy patientsTherapeutic resectionCancer recurrenceNipple viabilityReconstructive outcomesMastectomyReduction mammaplasty