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Must-read articles chosen by the Southeastern Society of Plastic and Reconstructive Surgeons:

 

 January 2019

 

Persistent Opioid Use and High-Risk Prescribing in Body Contouring Patients

Bennett, Katelyn G., M.D., M.S.; Kelley, Brian P., M.D.; Vick, Alexis D., B.S.; Lee, Jay S., M.D.; Gunaseelan, Vidhya, M.S., M.H.A.; Brummett, Chad M., M.D.; Waljee, Jennifer F., M.D., M.S.

Plastic and Reconstructive Surgery.  January 2019 - Volume 143 - Issue 1 - p 87–96

The authors surveyed the Clinformatics database and collected data on opioid use before and after body contouring procedure.  The study included data from over 11,000 unique patients, who had surgery over a 14 year period.  They found that, consistent with prior studies in other surgical groups, 6.1 percent of previously opioid-naive patients developed new persistent use of opioids.   The highest rates of opioid misuse were seen after thighplasty, and higher rates were observed in smokers and patients with preexisting mood or anxiety disorders.

Link:https://journals.lww.com/plasreconsurg/Fulltext/2019/01000/Persistent_Opioid_Use_and_High_Risk_Prescribing_in.17.aspx

 

 

Safe Gluteal Fat Graft Avoiding a Vascular or Nervous Injury: An Anatomical Study in Cadavers

Filiberto Alejandro Alvarez-Alvarez, MD  Hiram O González-Gutiérrez, MD César Felipe Ploneda-Valencia, MD

Aesthetic Surgery Journal, Volume 39, Issue 2, 17 January 2019, Pages 174–184

In the most comprehensive anatomic study to date on the subject, the authors injected synthetic graft material into 10 fresh cadavers under age 50.  They sought to determine which injection technique was the most effective in augmenting the subcutaneous plane while not resulting in the graft being in contact with the sciatic nerve or gluteal vessels.   Injection of the fat graft through the upper medial gluteal sulcus at 0° and 10° angles, and through the middle of the buttock at the level of posterior superior iliac crest at a −30° angle, reaches the surface needed for gluteal augmentation.  Injections through the middle lower gluteal sulcus had the highest complication rate.

Link: https://academic.oup.com/asj/article/39/2/174/5104902

 

Nasal Dorsal Augmentation with Freeze-Dried Allograft Bone:  A 10-Year Comprehensive Review

Clark, Richard P., M.D.; Pham, Phuong M., M.D.; Ciminello, Frank S., M.D.; Hagge, Rosalie J., M.D.; Drobny, Sarah, M.D.; Wong, Granger B., M.D., D.M.D.

Plastic and Reconstructive SurgeryJanuary 2019 - Volume 143 - Issue 1 - p 49e–61e

The authors present a series of patients who underwent dorsal nasal augmentation with freeze-dried allograft bone with 1-10 year follow up (mean 4.7 years).  Outcome measurements included  cephalometric radiography, cone beam volumetric computed tomography, and fluorine-18 sodium fluoride positron emission tomography.  The dorsal augmentation was assessed overall to be successful in 85 percent of 62 patients studied.

 Link: https://journals.lww.com/plasreconsurg/Fulltext/2019/01000/Nasal_Dorsal_Augmentation_with_Freeze_Dried.18.aspx   

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