Plastic and Reconstructive Surgery Global Open最新文献

{"title":"Readability of Patient Education Materials in Plastic Surgery: Assessing 14 Years of Progress.","authors":"Peter J Wirth, Aleah M Warden, Steven P Moura, Pradeep K Attaluri, Jeffrey D Larson","doi":"10.1097/GOX.0000000000006541","DOIUrl":"10.1097/GOX.0000000000006541","url":null,"abstract":"<p><strong>Background: </strong>Current recommendations suggest that patient education materials (PEMs) be written at or below the sixth-grade reading level. In a 2010 study, the average readability of PEMs on the American Society of Plastic Surgeons (ASPS) and The Aesthetic Society (AS) websites was found to be at the 11th-grade level or higher. We sought to assess progress made toward providing accessible PEMs.</p><p><strong>Methods: </strong>PEMs were obtained from the ASPS and AS websites. The PEMs were entered into an online scoring tool. PEMs were scored on 3 common readability indices: Flesch-Kincaid, Simple Measure of Gobbledygook, and Flesch Reading Ease (FRE).</p><p><strong>Results: </strong>The average grade level of ASPS PEMs calculated using the Flesch-Kincaid, Simple Measure of Gobbledygook, and FRE readability models were 9.7 ± 1.1, 12.6 ± 0.7, and 47.6 ± 6.2, respectively. This FRE score corresponds to approximately grade 13-16 reading levels. The average of AS PEMs were 9.3 ± 0.5, 12.3 ± 0.3, and 51.3 ± 3.9, respectively; this FRE corresponds to grade 10-12 reading levels. There were no PEMs written at or below the recommended sixth-grade reading level found on ASPS and AS websites.</p><p><strong>Conclusions: </strong>Despite increasing awareness of the need for equitable access to healthcare, PEMs continue to be written at a reading level well above the recommendation. Over the past 14 years, we have seen only modest improvement in readability indices. In addition to advocating for more accessible PEMs, we must gather a deeper understanding of how patients seek information about plastic surgery.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6541"},"PeriodicalIF":1.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Surgery Timing on Outcomes After Nerve Transfer to Restore Elbow Flexion.","authors":"Katie Hicks, Justin Haas, Moaath Saggaf, Christine B Novak, Jana Dengler","doi":"10.1097/GOX.0000000000006460","DOIUrl":"10.1097/GOX.0000000000006460","url":null,"abstract":"<p><strong>Background: </strong>Nerve reconstruction following brachial plexus injury (BPI) is a time-sensitive procedure, and surgical delay may negatively impact muscle reinnervation and outcomes. This study investigated the impact of surgical timing on elbow flexion strength in patients with BPI undergoing nerve transfer to restore elbow flexion.</p><p><strong>Methods: </strong>Following PRISMA guidelines, MEDLINE, Embase, and the Cochrane Library databases were systematically searched. English-language studies investigating the single fascicular transfer (SFT) or double fascicular transfer (DFT) to restore elbow flexion in BPI were included. Data were analyzed to identify the predictors of elbow flexion strength: surgery timing, age, injury level, and SFT versus DFT.</p><p><strong>Results: </strong>The literature search identified 1051 articles. Studies (n = 31) reporting data of individual patients who underwent SFT (n = 341) or DFT (n = 67) were included; the mean age was 29.6 ± 11.2 years, time from injury to surgery was 6.5 ± 5.0 months, and follow-up was 27.1 ± 24.3 months. Good elbow flexion strength was found: Medical Research Council grade greater than or equal to 3 in 352 (86.3%) and Medical Research Council grade greater than or equal to 4 in 288 (70.6%). In the adjusted analysis, poorer motor recovery was associated with increased age (<i>P</i> = 0.02), surgical delay (<i>P</i> < 0.0001), C5-7 injuries (<i>P</i> < 0.01), and pan-plexus injuries (<i>P</i> < 0.0001). A 32% reduction in the odds of favorable motor recovery was observed with a 3-month delay to surgery. Patients who had a nerve transfer 6 months or earlier from injury had 2.4 times the odds of favorable motor recovery (<i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>SFT and DFT provide excellent elbow flexion strength in the majority of patients. Following nerve transfers in individuals with BPI, poorer motor recovery was observed with each 3-month delay to surgery.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6460"},"PeriodicalIF":1.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive Evaluation of Septal Cartilage-bone Complex for Rhinoplasty Using Cone Beam Computed Tomography.","authors":"Min-Gi Seo, Dong-Woo Jung","doi":"10.1097/GOX.0000000000006473","DOIUrl":"10.1097/GOX.0000000000006473","url":null,"abstract":"<p><strong>Background: </strong>Septal extension grafting (SEG) is commonly used for correcting Asian short noses. When septal cartilage is limited, septal bone can be included. This study evaluates the outcomes of SEG using a septal cartilage-septal bone complex (SCBC) and assesses preoperative cone beam computed tomography (CBCT) for predicting septal bone suitability.</p><p><strong>Methods: </strong>A retrospective review was conducted of Korean women planned for SEG with SCBC from July 2021 to June 2022. Preoperative CBCT scans measured Hounsfield Unit (HU) values for septal cartilage, perpendicular plate of the ethmoid (PPE), and vomer. Of 27 patients, 19 underwent SEG with SCBC, whereas 8 did not due to unsuitable septal bone. Clinical outcomes and satisfaction were assessed through surveys and photographs.</p><p><strong>Results: </strong>For the 19 patients using SCBC, the average HU for PPE was 286.5 ± 126.6 (ratio 6.8 ± 2.1), and for vomer, HU was 230.3 ± 95.2 (ratio 5.7 ± 1.8). SEG significantly improved nasal length and tip projection, although tip softness was less favorable. Among the 8 patients not using SCBC, 5 had bones that were too thick and stiff (PPE: 667.8 ± 102.2, ratio 15.5 ± 2.7; vomer: 342.8 ± 55.1, ratio 8.1 ± 2.3), and 3 had fragile bones (PPE: 148.7 ± 45.4, ratio 3.1 ± 0.7; vomer: 199.0 ± 68.6, ratio 4.1 ± 0.9).</p><p><strong>Conclusions: </strong>SEG using SCBC effectively corrects short noses in Asian patients. Preoperative HU ratios from CBCT can help predict septal bone quality and guide surgical planning. Further research with larger cohorts is needed to confirm these findings.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6473"},"PeriodicalIF":1.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilization of a Skin Graft From an Amputated Hand to Cover Reservent Below-elbow Amputation Wound.","authors":"Hassan A Ali, Yazeed A Almojel, Hussam A Alhathlol, Yazeed M Alsulami, Zuhair G Elkhalifa, Syed M Jaffry","doi":"10.1097/GOX.0000000000006538","DOIUrl":"10.1097/GOX.0000000000006538","url":null,"abstract":"<p><p>This case involves a 58-year-old man who sustained a severe left forearm injury from a motor vehicle accident. Imaging revealed comminuted fractures and arterial occlusions in the left forearm. As the injury was crush type and exploration revealed vessels with avulsion, the decision was made to perform amputation due to nonsalvageability. The patient underwent irrigation, debridement, and amputation, followed by coverage via a full-thickness skin graft from the amputated hand. Postoperatively, the patient received antibiotics and wound care, resulting in successful graft integration and healing. This case highlights the use of a full-thickness skin graft from the amputated limb for stump coverage, demonstrating that if the patient refuses to take a graft from other common sites, the amputated dorsum of the hand can be an excellent alternative site.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6538"},"PeriodicalIF":1.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mechanically Powered Negative Pressure Dressing Enhances Surgical Incision Cosmesis: A Randomized Trial.","authors":"Brian Williams, Abhinav Gupta, Jordan Martucci, Aubrey Swinford, Kyle G Cologne, Sarah E Koller, Joongho Shin","doi":"10.1097/GOX.0000000000006549","DOIUrl":"10.1097/GOX.0000000000006549","url":null,"abstract":"<p><strong>Background: </strong>Cosmetic appearance of incisions remains one of the most important aspects of the patient recovery experience. Despite advances in surgery, scar prevention is the gold standard in improved results. Closed-incision negative pressure wound therapy has shown promise in decreasing surgical site infection and healing time. This study aimed to assess outcomes of primarily closed surgical incisions with mechanically powered negative pressure dressings (MP-NPDs) compared with standard dressings.</p><p><strong>Methods: </strong>This study was a single-center, within-subjects, randomized controlled trial, in which each patient served as both the control and experimental arms. Laparoscopic/robotic port site incisions were randomized to control dressing or MP-NPD. Primary outcomes were cosmetic results at first clinic visit by blinded physicians and nonphysician observers.</p><p><strong>Results: </strong>Forty patients with a total of 80 incisions were included in the analysis. The average scores for scar spread, erythema, dyspigmentation, scar hypertrophy, and overall impression were lower for the MP-NPD wounds. The only individual variable of the Scar Cosmesis Assessment Rating scale, in which there was no difference noted between the 2 groups, was the presence of suture marks. The average total Scar Cosmesis Assessment Rating score was significantly lower (more favorable) for the MP-NPD wounds compared with the control wounds (3.39 ± 3.18 versus 4.79 ± 3.18, respectively; <i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>The use of closed-incision negative pressure wound therapy with the application of a novel MP-NPD over surgical incisions resulted in clinical and statistically significant improvement in scar cosmesis in the early/intermediate postoperative period according to both physician and nonphysician observers.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6549"},"PeriodicalIF":1.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lumbar Fusion Debris Resulting in Painful Foreign-body Reaction in Abdominal Scar.","authors":"Ka'la D Drayton, Alan Babigian","doi":"10.1097/GOX.0000000000006555","DOIUrl":"10.1097/GOX.0000000000006555","url":null,"abstract":"<p><p>Scar formation is a foreseeable outcome in wound healing. Patients frequently undergo scar revision to improve aesthetic appearance or function. Herein, we present the case of a 49-year-old woman who presented with a painful scar on the abdominal wall. High-resolution computed tomography failed to reveal any underlying source of the abdominal pain. During scar revision, she was found to have extensive fibrosis resulting from a foreign-body response to spinal debris.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6555"},"PeriodicalIF":1.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Flexibility of the Superficial Circumflex Iliac Artery Perforator Free Flap for Hand Reconstruction.","authors":"Linh Tuan To, Tuan-Anh Hoang, Ha Hong Nguyen, Son Thiet Tran, Sung-Kiang Chuang, Kevin C Lee","doi":"10.1097/GOX.0000000000006534","DOIUrl":"10.1097/GOX.0000000000006534","url":null,"abstract":"<p><strong>Background: </strong>The superficial circumflex iliac artery perforator (SCIP) flap has several advantages in hand reconstruction. It is thin and pliable, the extensive branching of the arterial system allows for multiple components, and the donor site can be closed inconspicuously. This article reports our experience using the SCIP flap for hand reconstruction, and we highlight the flexibility of the SCIP for extended and chimeric flaps.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study from November 2022 to January 2024 of patients with complex hand defects (exposure and/or defect of the bone or tendon) who underwent reconstruction with an SCIP flap. The plane of dissection was above the layer of superficial fascia. In overweight patients, the superficial fat lobules were removed under the microscope to thin the flap. Tailoring, chimeric, and supercharged flaps were constructed as needed for complicated hand defects. Data collected included defect characteristics, flap design, and outcomes.</p><p><strong>Results: </strong>A total of 44 flaps were performed on 43 patients. The average flap length was 17.8 cm (range 10-42 cm), the average flap width was 7.6 cm (range 2-11 cm), and the average flap thickness was 2.5 mm (range 2-4 mm). Hand defects were reconstructed with 9 chimeric flaps, 8 tailored flaps, 3 chimeric and tailored flaps, and 2 supercharged flaps. Overall, 42 flaps (95.5%) survived and 2 flaps (4.5%) experienced necrosis.</p><p><strong>Conclusions: </strong>The SCIP flap is a reliable option for complex hand defect reconstruction. This technique can provide a large, thin, pliable skin paddle incorporating components from the external oblique fascia and iliac bone. We did not encounter any recurrent issues when using it as a supercharged flap, tailored flap, or chimeric flap. Reconstructive surgeons should develop comfort with the SCIP flap in hand reconstruction given its versatility.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6534"},"PeriodicalIF":1.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of COVID-19 on Thrombotic Complications in Microsurgery: Deep Inferior Epigastric Perforator Flap Outcomes Amid Pandemic.","authors":"Daniel P Zaki, Eric Zeng, Mary L Duet, Courtney E Stone, Robert S Giglio, Marion W Tapp, Ramon Llull, Bennett W Calder, John M Robinson","doi":"10.1097/GOX.0000000000006544","DOIUrl":"10.1097/GOX.0000000000006544","url":null,"abstract":"<p><strong>Background: </strong>Emerging research underscores the heightened risk of vasculitis and microvascular thrombosis in COVID-19 patients, alongside concerns about prothrombotic events post-severe acute respiratory syndrome coronavirus 2 vaccination. Following the pandemic's end, we sought a comprehensive analysis to elucidate its impact on microsurgical thrombosis rates, informed by empirical and anecdotal evidence.</p><p><strong>Methods: </strong>An institutional review board-approved retrospective review analyzed autologous breast reconstruction cases in women from January 2019 to March 2022. Data on patient history, COVID-19 infection, vaccination status, and postoperative complications were collected. Patients were categorized as prepandemic and pandemic, and based on COVID-19 influence (infection or vaccination) for statistical evaluation.</p><p><strong>Results: </strong>Among 527 patients, 216 underwent surgery prepandemic and 311 during the pandemic, revealing thrombotic event rates of 3.2% and 5.4%, respectively. Further comparative analysis showed no significant difference in thrombotic events among patients affected by COVID-19 through infection or vaccination during the pandemic.</p><p><strong>Conclusions: </strong>Contrary to concerns, COVID-19 infection or vaccination status does not significantly increase thrombotic event rates in deep inferior epigastric perforator flap breast reconstructions. This study offers vital insights, affirming the safety and efficacy of microsurgical procedures amid the pandemic, thereby guiding microsurgeons in optimizing patient care in the post-COVID-19 era.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6544"},"PeriodicalIF":1.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Technical Refinements of Supraclavicular Artery Island Flap With Submuscular Tunnel for Reconstruction of Remote Head and Neck Postburn Scars.","authors":"Mohamed A Ellabban, Ingrid Steinvall, Folke Sjöberg, Moustafa Elmasry","doi":"10.1097/GOX.0000000000006455","DOIUrl":"10.1097/GOX.0000000000006455","url":null,"abstract":"<p><strong>Background: </strong>The supraclavicular artery island flap (SCAIF) has been used extensively to reconstruct postburn scars in the head and neck region. Its landmark and vascular supply from the supraclavicular artery have been demonstrated before. The aim was to assess its versatility following an increase in pedicle length to be supplied by the transverse cervical artery, along with tunneling the pedicle under the sternocleidomastoid muscle to reach distant sites that the classic SCAIF could not reach.</p><p><strong>Methods: </strong>A retrospective analysis was conducted of 25 consecutive patients in whom SCAIFs were performed to reconstruct remote head and neck postburn scars. Pedicle length, flap diameter, and complications were recorded with demographic and burn-related data.</p><p><strong>Results: </strong>The study included 18 (72%) men and 7 (18%) women. The mean age was 15.7 years, and the mean injury time was 15 months before flap transfer. Isolated neck injury was the most affected site (44%). The mean length and width of the SCAIF were 16.6 and 6.5 cm, respectively. The mean length of its extended vascular pedicle based on transverse cervical artery was 7.2 cm. The donor site was closed primarily in all cases. All flaps survived completely, except 2 (8%) that exhibited partial necrosis.</p><p><strong>Conclusions: </strong>The SCAIF is reliable for reconstructing postburn deformities in the head and neck region. Our results indicate that the increased pedicle length and the submuscular tunnel allow reliable distant flap transfer without the risk of excessive traction or vessel kinking.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6455"},"PeriodicalIF":1.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost Determinants of Mandibular Distraction Osteogenesis in Infants With Robin Sequence.","authors":"David O'Neil Danis, Alessandra Zaccardelli, Arnav K Singla, Aiden Meyer, Andrew R Scott","doi":"10.1097/GOX.0000000000006550","DOIUrl":"10.1097/GOX.0000000000006550","url":null,"abstract":"<p><strong>Background: </strong>Robin sequence is an anomaly of micrognathia, glossoptosis, and airway obstruction. Mandibular distraction osteogenesis (MDO) performed in early infancy relieves airway obstruction and improves feeding difficulties. Though clinical outcomes data for MDO are strong, studies examining the cost drivers of the procedure are scarce.</p><p><strong>Methods: </strong>A retrospective 10-year single-institution chart review examined medical and billing records of infants undergoing MDO at an urban tertiary care center. Data included hospital charges, patient characteristics, comorbidities/complications, intubation duration, and length of stay (LOS). Multivariate regression analysis determined significant cost contributors over the course of admission. Conclusions from this smaller sample were compared with analyses from a larger, less detailed, population-based inpatient registry using the Kids' Inpatient Database (2016 and 2019).</p><p><strong>Results: </strong>In the single-institution analysis, 29 cases were identified with a mean age of 12 days at hospital admission. Mean postoperative and overall LOS were 19 ± 10 and 31 ± 13 days, respectively. Mean total charges were $287K-$118K. The most significant driver of total charges was floor charges (<i>P</i> < 0.01). LOS was a proxy for floor charges, as they were highly correlated (<i>r</i> = 0.98). LOS was significantly driven by intubation duration (<i>P</i> = 0.01). In the nationwide analysis, 165 weighted cases were identified; mean age was 2 months at hospital admission. Mechanical ventilation >96 hours was associated with increased LOS and hospitalization costs.</p><p><strong>Conclusions: </strong>Of infants with Robin sequence undergoing MDO, the most significant driver of total charges was LOS. Intubation duration was highly associated with LOS.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6550"},"PeriodicalIF":1.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}