2020
Risk 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 study
2019
Risk 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 ResearchConceptsCleft 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 ResearchConceptsLonger 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 ResearchConceptsCleft 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 reconstructionEpidemiologic Assessment of Microtia in Over 23 Million Consecutive United States Births
Cabrejo R, Persing J, Alperovich M. Epidemiologic Assessment of Microtia in Over 23 Million Consecutive United States Births. Journal Of Craniofacial Surgery 2019, 30: 342-346. PMID: 30418290, DOI: 10.1097/scs.0000000000004885.Peer-Reviewed Original ResearchConceptsCongenital anomaliesInpatient DatabaseMicrotia patientsAssociated congenital anomaliesKids' Inpatient DatabaseUnited States birthsIndependent t-testPostoperative complicationsPatient demographicsPostsurgical courseBlack patientsHispanic raceCohort databaseRelative riskGenitourinary anomaliesHospital settingEpidemiologic assessmentPatientsCraniofacial syndromesState birthMicrotiaLongitudinal studyT-testBirthIncidenceNational Patterns in Surgical Management of Syndactyly: A Review of 956 Cases
Chouairi F, Mercier MR, Persing JS, Gabrick KS, Clune J, Alperovich M. National Patterns in Surgical Management of Syndactyly: A Review of 956 Cases. Hand 2019, 15: 666-673. PMID: 30770023, PMCID: PMC7543215, DOI: 10.1177/1558944719828003.Peer-Reviewed Original ResearchMeSH KeywordsChildHumansMalePlastic Surgery ProceduresQuality ImprovementRisk FactorsSurgeonsSyndactylyConceptsOperative timeComplex syndactylySyndactyly repairNational Surgical Quality Improvement Program Pediatric databaseOrthopaedic surgeonsSimple syndactylySuperficial surgical site infectionPlastic surgeonsSurgical site infectionTime of surgeryLonger operative timeShorter operative timeMulti-institutional outcome analysisNumber of patientsPreoperative comorbiditiesReconstructive complicationsSyndactyly casesVentilator dependencePerioperative outcomesAirway abnormalitiesMost patientsPatient demographicsSurgical factorsSite infectionSurgical managementChronic 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 ResearchConceptsChronic 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 ratio
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 ResearchConceptsPack-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
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 ResearchConceptsNipple-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 flap