Heather R. Burns, Jacob Dinis, Yang Ding, Edward P. Buchanan
{"title":"Seminars in Plastic Surgery: Pediatric Ear Anomalies and Reconstruction","authors":"Heather R. Burns, Jacob Dinis, Yang Ding, Edward P. Buchanan","doi":"10.1055/s-0043-1775888","DOIUrl":"https://doi.org/10.1055/s-0043-1775888","url":null,"abstract":"Abstract Congenital ear anomalies affect 15 to 20% of neonates and can be categorized as either auricular deformations or malformations. Deformations involve a fully developed, albeit abnormally shaped, chondrocutaneous framework, which makes them amenable to correction with ear molding within the first few months of life. Malformations involve hypoplastic or fully absent auricular structures that require augmentation with alloplastic and/or autogenous reconstruction. The goal of this article is to outline the various auricular deformities and malformations, followed by a description of the latest clinical management options, both nonsurgical and surgical, by auricular anomaly.","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":" 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135142046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matthew J. Parham, Samuel H. Cole, Nicholas H. Yim, William C. Pederson
{"title":"Robotic Nerve Surgery: Brachial Plexus","authors":"Matthew J. Parham, Samuel H. Cole, Nicholas H. Yim, William C. Pederson","doi":"10.1055/s-0043-1772847","DOIUrl":"https://doi.org/10.1055/s-0043-1772847","url":null,"abstract":"Abstract Management of closed brachial plexus injuries has traditionally favored conservative approaches with lengthy intervals between initial injury and surgical reconstruction. The complex anatomy of this region often requires large incisions with extensive dissection. Recently, the use of robotic systems in plastic and reconstructive surgery has been increasing, and robot-assisted brachial plexus reconstruction is a novel application that is currently being explored. Current literature describing this application is primarily comprised of feasibility studies using animal and cadaver models, and literature describing use in human subjects is limited. Advantages demonstrated by these early studies include the reduction of physiologic tremor, 3D visualization of anatomical structures, and ergonomic positioning; this allows for increased surgical dexterity and the ability to perform minimally invasive microsurgical procedures within the confined anatomical spaces of the brachial plexus. Limitations revolve around inadequate instrumentation, large learning curves, and increased costs that restrict the ability to perform these complex microsurgical procedures reliably and efficiently. As companies continue to develop instrumentation specific to robot-assisted microsurgery, more extensive longitudinal studies outlining long-term costs, changes in operating time, and functional outcomes will be required before a conclusion about the utility of these systems in brachial plexus surgery can be made.","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135149172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Updates in Robotic Head and Neck Reconstructive Surgery.","authors":"Michael Hajek, Christopher M K L Yao","doi":"10.1055/s-0043-1771303","DOIUrl":"10.1055/s-0043-1771303","url":null,"abstract":"<p><p>The use of robotics in head and neck surgery has drastically increased over the past two decades. Transoral robotic surgery has revolutionized the surgical approach to the upper aerodigestive tract including the oropharynx and supraglottic larynx. The expanded use and improving technology of robotics have allowed for new approaches in both the ablative and reconstructive aspects of head and neck surgery. Here, we discuss the recent updates in robotics in head and neck surgery and future directions the field may turn.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"37 3","pages":"184-187"},"PeriodicalIF":2.3,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10569870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicholas H Yim, Heather R Burns, Matthew J Davis, Jesse C Selber
{"title":"Robotic Plastic Surgery Education: Developing a Robotic Surgery Training Program Specific to Plastic Surgery Trainees.","authors":"Nicholas H Yim, Heather R Burns, Matthew J Davis, Jesse C Selber","doi":"10.1055/s-0043-1771026","DOIUrl":"10.1055/s-0043-1771026","url":null,"abstract":"<p><p>Over the past two decades, the surgical community has increasingly embraced robotic-assisted surgery (RAS) due to its potential to enhance accuracy and decrease surgical morbidity. Plastic surgery as a field has been historically slow to incorporate RAS, with lack of adequate training posing as one of the most commonly cited barriers. To date, robot technology has been utilized for various reconstructive procedures including flap elevation and inset, pedicle dissection, and microvascular anastomosis. As RAS continues to integrate within plastic surgery procedures, the need for a structured RAS curriculum designed for plastic surgery trainees is rising. This article delineates the essential components of a plastic surgery-specific RAS curriculum and outlines current training models and assessment tools utilized across surgical subspecialties to date.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"1 1","pages":"157-167"},"PeriodicalIF":2.3,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10911909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41601722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Youmna A Sherif, Mohammed A Adam, Aimee Imana, Sarnai Erdene, Rachel W Davis
{"title":"Remote Robotic Surgery and Virtual Education Platforms: How Advanced Surgical Technologies Can Increase Access to Surgical Care in Resource-Limited Settings.","authors":"Youmna A Sherif, Mohammed A Adam, Aimee Imana, Sarnai Erdene, Rachel W Davis","doi":"10.1055/s-0043-1771301","DOIUrl":"10.1055/s-0043-1771301","url":null,"abstract":"<p><p>Advanced surgical technologies consist of remote and virtual platforms that facilitate surgical care and education. It also includes the infrastructure necessary to utilize these platforms (e.g., internet access, robotic systems, and simulators). Given that 5 billion people lack access to safe and timely surgical care, the appeal of these technologies to the field of global surgery lies primarily in its ability to eliminate geographical barriers and address surgeon shortages. This article discusses the use of virtual and remote technologies in resource-limited settings, the potential applications of these technologies, the possible barriers to their integration, and the impact these technologies may have on access to surgical care and education. Specifically, it will explore how robotic surgery, telesurgery, virtual education platforms, and simulations have the potential to be instrumental in enhancing worldwide access to safe surgical care.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"37 3","pages":"217-222"},"PeriodicalIF":2.3,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10569862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aaron J. Berger, MD, PhD, Dan A. Zlotolow, MD, FAOA.","authors":"Edward P Buchanan","doi":"10.1055/s-0043-1768685","DOIUrl":"10.1055/s-0043-1768685","url":null,"abstract":"","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"37 2","pages":"83"},"PeriodicalIF":2.3,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10371402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9874242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Management of Brachial Plexus Birth Injuries at British Columbia Children's Hospital.","authors":"Cynthia Verchere, Kim Durlacher, Doria Bellows","doi":"10.1055/s-0043-1767783","DOIUrl":"10.1055/s-0043-1767783","url":null,"abstract":"<p><p>A multidisciplinary team at BC Children's Hospital provides brachial plexus birth injury management for our provincial catchment area. Although compared with many centers we service a relatively small clinic population, we have the benefit of universal health care, province-wide reach, and accessible research infrastructure. In 2008, we created the Sup-ER protocol, which includes an orthosis that passively positions the neonatal shoulder into more idealized glenohumeral contact during early growth. We have since shown that our Sup-ER patients have better shoulder outcomes, require less brachial plexus surgery, and need fewer shoulder tendon transfers than those patients treated in our clinic prior to 2008. We have also found that the rate and degree of elbow flexion contractures are reduced compared with results reported in the literature.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"37 2","pages":"102-107"},"PeriodicalIF":2.3,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10371405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10246307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thomas R Cawthorn, Sevan Hopyan, Howard M Clarke, Kristen M Davidge
{"title":"Management of Brachial Plexus Birth Injury: The SickKids Experience.","authors":"Thomas R Cawthorn, Sevan Hopyan, Howard M Clarke, Kristen M Davidge","doi":"10.1055/s-0043-1769930","DOIUrl":"10.1055/s-0043-1769930","url":null,"abstract":"<p><p>This article describes the approach utilized by the multidisciplinary team at Sick Kids Hospital to evaluate and treat patients with brachial plexus birth injury (BPBI). This approach has been informed by more than 30 years of experience treating over 1,800 patients with BPBI and continues to evolve over time. The objective of this article is to provide readers with a practical overview of the Sick Kids approach to the management of infants with BPBI.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"37 2","pages":"89-101"},"PeriodicalIF":2.3,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10371415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9942079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Brachial Plexus Birth injuries.","authors":"Aaron Berger, Dan A Zlotolow","doi":"10.1055/s-0043-1768686","DOIUrl":"10.1055/s-0043-1768686","url":null,"abstract":"","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"37 2","pages":"84"},"PeriodicalIF":2.3,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10371398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9874243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Benjamin Gundlach, Scott H Kozin, Dan A Zlotolow, Eugene Park
{"title":"The Philadelphia Shriners Hospital Approach to Brachial Plexus Birth Injury.","authors":"Benjamin Gundlach, Scott H Kozin, Dan A Zlotolow, Eugene Park","doi":"10.1055/s-0043-1768965","DOIUrl":"10.1055/s-0043-1768965","url":null,"abstract":"<p><p>The care of children with brachial plexus birth injuries (BPBI) is a complex multidisciplinary endeavor. At the Shriners Hospital for Children in Philadelphia, we have sought to elevate the quality of care delivered to patients through outcomes research and collaboration with colleagues around the world. Our approach to the management of this challenging pathology has evolved time and again. Here, we describe our current approach to patient assessment and operative management in patients with BPBI and its many sequelae.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"37 2","pages":"143-154"},"PeriodicalIF":2.3,"publicationDate":"2023-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10371411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10246302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}