Abstract

The Editorial Board of FACE is pleased to publish the Craniomaxillofacial abstracts from the 66th annual meeting of the Ohio Valley Society of Plastic Surgeons (OVSPS), held from June 2 to 3, 2023 in Akron, Ohio.
This is the fourth year that FACE has published these abstracts, the first being in 2020, the inaugural year of the journal.
The abstracts were peer-reviewed for the OVSPS meeting and are presented without change.
Enjoy these high-quality abstracts. We look forward to an on-going relationship with the Ohio Valley organization.
John van Aalst,
Editor-in-Chief
10 Year Experience in Burn Eyelid Surgery: A Single Center Retrospective Cohort Study
Tiffany Jeong, Mario Alessandri-Bonetti, Avril Betances, Guy Stofman, Francesco M Egro
University of Pittsburgh School of Medicine
2023-01-30
There is a paucity of studies on outcomes in eyelid burn treatment, despite concern for permanent ocular damage or loss of vision. This study aims to describe the complication rates in burn eyelid reconstruction at a single center over 10 years. We conducted a retrospective study to review outcomes of eyelid burns undergoing plastic surgery reconstruction between April 2009 and December 2022. Gathered data include demographics, past medical history, type of injury, indication for surgery, procedure performed and complications. A total of 12 patients underwent 48 eyelid surgeries with a mean follow-up time of 11.7±14.5months. In 60.4%(n=29) of the cases, the simultaneous reconstruction of both the upper and lower eyelids was necessary. Acute eyelid burn treatment represented 45.8% of the cases, while in 54.2% of the cases chronic burn sequelae were addressed. The eyelid procedures performed included: full thickness skin graft (45.8%, n=22), flap reconstruction (16.7%, n=8), debridement (14.6%, n=7), Integra (10.4%, n=5), split thickness skin graft (8.3%, n=4), canthoplasty (8.3%, n=4), TheraGenesis (4.2%, n=2), and fractional lasering (2.1%, n=1). The overall complication rate was 58.3% (n=28). The most common complication was ectropion (33.3%, n=16). Other complications included: lagophthalmos (18.75%, n=9), eye injury (18.75%, n=9), contracture (16.7%, n=8), eyelid infection (12.5%, n=6), sepsis (8.3%, n=4), total graft loss (4.2%, n=2), and partial graft loss (4.2%, n=2). Further studies examining the conditions of successful eyelid burn procedures may provide guidance on when patients may benefit from eyelid reconstruction during their burn treatment
A National Database Perspective on Pediatric Non-Accidental Trauma Patients and Differential Outcomes for Facial Trauma Operations Performed by Otolaryngologists and Plastic Surgeons
Joseph W. Mocharnuk, BA, Anne Glenney, BA, Dana Meshkin, BSN, Jesse A. Goldstein, MD, Miles J. Pfaff, MD, Raj M. Vyas, MD
University of Pittsburgh School of Medicine
2023-02-10
A Review of Private Insurance Policies: Coverage of Fat Grafting for Breast and Head & Neck Reconstruction
Yusuf Surucu, MD; Bahaa Shaaban, MD; Pooja Humar, BS; Elizabeth A. Moroni, MD MHA; Rakan Saadoun, MD; M. Saad Hafeez, MD; Yadira Villalvazo, MD; Jeffrey H. Kozlow, MD; J. Peter Rubin, MD
University of Pittsburgh
2023-02-10
An Analysis of Craniofacial Surgery Fellowship Websites and Social Media Presence
Isabel Ho, BA Howard D. Wang, MD
Case Western Reserve University School of Medicine; University Hospitals Rainbow Babies and Children
2023-01-29
Alleviating Cosmetic Injectable Pain: A Novel Vibrational Anaesthesia Device For The Lip
Logan Grant Galbraith, BA1, Mohammad Fahad Butt, BS1, Daniel Moy, BS1, Arya Andre Akhavan, MD2
1Northeast Ohio Medical University College of Medicine, Rootstown, OH, USA,
2Icahn School of Medicine at Mount Sinai, New York, NY, USA.
2023-01-15
A Review on the State of Preclinical Mentorship Programs in Plastic and Reconstructive Surgery
Bryce Dzubara, Nojan Bajestani, Stephanie Paras, Eric Min, Shuchi Sharma, Juhi Katta, Cristiane Ueno MD
Cristiane Ueno MD
2023-01-25
Plastic and reconstructive surgery is consistently one of the most competitive medical specialties in the Match. The average USMLE standardized test scores and applicant research productivity continue to rise, while match rates are among the lowest of all medical specialties. In this competitive landscape, early exposure and excellent mentorship are paramount to student match success. However, preclinical students are not adequately exposed to plastic surgery. A literature review of preclinical plastic surgery mentorship programs was conducted in PubMed and Embase to identify extracurricular mentorship opportunities specifically involving preclinical students in plastic surgery. A total of 68 references were identified, and 19 duplicates were removed. A total of 19 studies passed initial screenings and were assessed for full-text eligibility, but only 2 studies were included after 17 studies did not meet inclusion criteria. A thorough review of the included studies indicated that preclinical medical students achieve self-identified goals and generate longitudinal benefits in plastic surgery by participating in mentorship programs. However, the limited number of studies in this review highlights a lack of available documented plastic surgery mentorship programs and reveals a knowledge gap concerning the successful creation of such programs. Broadening analysis to other surgical subspecialties, mentorship programs provide medical students with the necessary opportunities to gain exposure, cultivate interest, and match successfully. Moreover, future plastic surgery mentorship programs can potentially replicate successful mentorship programs in other specialties to address the lack of formalized mentorship opportunities for preclinical medical students in plastic surgery.
Implementation of a Plastic and Reconstructive Surgery Mentorship Program
Bryce P.G. Dzubara, Nojan Bajestani, Cristiane Ueno MD
The Ohio State University College of Medicine
2023-01-25
Assessing Rates of Hearing Loss across Types and Syndromic Status of Craniosynostosis
Eric Min BA, Adriane Baylis PhD, Tran Bourgeois MPH, Ursula Findlen PhD, Alyssa Fogolin BS, John Munday MS, Ibrahim Khansa MD, Gregory Pearson MD
Ohio State University College of Medicine
2023-02-01
Bibliometric analysis of peer-reviewed literature on Corneal Neurotization
Gunel Guliyeva, MD1, Asim Ali, MD, FRCSC2, Gregory Borsche MDl
1Department of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center
2Indiana University Division of Plastic Surgery
2023-02-01
Abstract
Characteristics driving "inappropriate" transfer of pediatric mandibular fracture patients
Lucille Cheng, BA; Zhazira Irgebay, BA; Anne E. Glenney, BA; Jesse Goldstein, MD
University of Pittsburgh Medical Center
2023-02-08
Mandibular fractures are among the most common pediatric facial fracture. Conservative treatment (i.e. jaw rest, chewing gum) are the most typical treatment methods and are widely available. However, pediatric patients are often transferred, leading to costly "inappropriate" transfers which often place undue burden on families while diverting resources from urge nt cases. This study evaluates factors influencing "inappropriate" transfer, defined as a patient receiving conservative treatment post-transfer to a children's hospital. A retrospective review was performed of patients under 18 years of age who were evaluated for mandibular fractures at a pediatric level I trauma center between 2006 and 2021. Variables studied included demographics, etiology, medical history, associated injuries, treatments, and outcomes. 532 pediatric patients (141 female, 391 male) were included; more than half (56.77%, n = 302) were transferred. Of 302 total transfers, 178 (58.9%) were inappropriate. Subsequent treatment (conservative vs. surgical) did not differ significantly between transfer and non-transfer groups (p=0.72). Uninsured patients (p=0.038) or those with concomitant soft tissue injury (p=0.019) were more likely to be transferred. Trauma level, cause of injury, gender, and presence of other concomitant fractures did not significantly influence transfer rate. Uninsured pediatric mandibular fracture patients were more likely to be transferred than their insured peers regardless of presenting trauma level. There was no difference in the rate of surgical management between transferred vs. non-transferred patients. Concurrent soft-tissue injuries were a significant factor influencing "inappropriate" transfers. We recommend research and innovation in remote plastic surgery consultations for pediatric patients who may not benefit from urgent transfer.
Cranioplasty Outcomes in a Multidisciplinary Neuroplastic Surgery Program: A Single Center Experience
Jaeda Robinson, BS, Taborah Z. Zaramo BS, Hunter Stecko, BS, Kerry-Ann Mitchell MD PhD
The Ohio State University Department of Plastic and Reconstructive Surgery
2023-02-10
Critical Analysis of Feeding Outcomes After Surgical Intervention for Pierre Robin Sequence
Pooja Humar, BS; Anne Glenney, BA; Lucille Cheng, BS; Alexander Comerci, BS; Joseph Mocharnuk, BA; Lucas Dvoracek, MD; Jesse Goldstein, MD
University of Pittsburgh Medical Center
2023-01-31
Demographics, Injury Patterns, and Associated Injuries in 3,334 Pediatric Facial Fracture Patients Treated at a Single Institution
Anne E. Glenney, BA; Zhazira Irgebay, BA; Erin Anstadt, MD; Lucas A Dvoracek, MD; Joseph W. Mocharnuk, BA; Justin W. Beiriger, BSE; John Smetona, MD; Richard A. Saladino, MD; Joseph E. Losee, MD; Jesse A. Goldstein, MD
University of Pittsburgh Medical Center (UPMC)
2023-01-30
Determining Chin Dimensions for Feminizing Genioplasty: An Anatomical Study
R'ay Fodor, BA&Sc, Abir Kalandar, MD; Antonio Rampazzo, MD, PhD; Raymond Isakov, MD; Cecile Ferrando, MD MPH; Francis Papay, MD; Bahar Bassiri Gharb, MD, PhD
Cleveland Clinic Department of Plastic Surgery, Cleveland Clinic Lerner College of Medicine
2023-02-01
Development of A Novel Translational Animal Model of Autologous Cranioplasty Using Cryopreserved Bone
Taborah Zaramo, BS, Nojan Bajestani, BS, Kerry-Ann Mitchell MD-PhD
The Ohio State University Department of Plastic and Reconstructive Surgery
2023-02-10
Evaluating Hearing Outcomes in Microtia Reconstruction: A Comparison Meta-Analysis Study Using Bone Anchored Hearing Aids (BAHA) versus Canaloplasty with Middle Ear Ossicular Reconstruction
Vikas S. Kotha MD, Anthony DeLeonibus MD, Alison Jin BA, Francis Papay MD, Bahar Bassiri Gharb MD PhD, Antonio Rampazzo MD PhD
Cleveland Clinic Foundation
2023-02-10
Evaluation of COVID-19 Prone-Induced Facial Pressure Sore Development and Rate of Operative Intervention
Danielle M. Khalilzadeh MS, Garrett V. Brittain MS, Spencer R. Anderson MD, Ron M. Johnson MD
Wright State University Boonshoft School of Medicine
2023-02-10
Hospitalized COVID-19 patients have a 61% chance of developing acute respiratory distress syndrome (ARDS). Per National Institute of Health, extended prone positioning is advantageous for patients with moderate-to-severe ARDS requiring mechanical ventilation. [1] Despite therapeutic benefit, over 45% of prone positioned COVID-19 patients experience facial pressure ulcers (FPU) as a complication [2,3]. To better understand the incidence and management of FPU in the COVID-19 population our study aims to identify best practices of FPU management, analyze the incidence of COVID-19 patients developing FPU secondary to proning techniques, and determine rate of survival and surgical intervention in managing FPU. As a single-institution retrospective case-controlled study, 28 COVID-19 patients and 29 non-COVID-19 patients were randomly selected from electronic health record data and partitioned into two groups. Data variables such as total time spent prone, turning protocol, incidence of pressure sore development, pressure sore grade, and overall mortality were collected. Exhaustive data analysis to be completed by a biostatistician. At the time of submission, comprehensive data analysis is ongoing. Preliminary outcomes indicate COVID-19 patients on average develop 2.17 FPUs compared to 1.53 FPUs in the non-COVID-19 cohort (p=0.037). Additionally, COVID-19 patients with PTU were more likely to require surgical intervention, heal with deformities, or be complicated by death compared to non-COVID-19 patients with PTU (p=0.0045). We hypothesize COVID-19 patients have both a greater incidence and severity of FPU. Thus patients will require earlier discussion regarding plastic surgery involvement when facilitating a long-term plan of care.
Extracorporeal Shockwave Therapy Improves Outcomes Following Secondary Alveolar Bone Grafting
Demetrius M. Coombs, MD; Viren Patel, MD; Nicholas Kochenour, DMD; Niyant Patel, MD; Ananth S. Murthy, MD
The Cleveland Clinic & Akron Children's Hospital
2023-01-31
Health and Socioeconomic Predictors of 13,546 Clefts in a Population-Based Analysis
Kiersten C. Woodyard, MPH. Douglas Dembinski MD. Sydni Meunier MD. Kelly Spiller MD. Brian S. Pan MD
University of Cincinnati College of Medicine
2023-02-10
Novel Application of the Piezoelectric Device with an Intraoral Approach to Lateral Osteotomies in Rhinoplasty, An Anatomical Study
Anthony DeLeonibus MD, Marco Swanson MD, Viren Patel MD, Vikas Kotha MD, Bahar Bassiri Gharb MD PhD, Antonio Rampazzo MD PhD
Cleveland Clinic Foundation
2023-02-10
Pediatric Facial Fractures in Patients with Autism Spectrum Disorder
Anne E. Glenney, BA; Zhazira Irgebay, BA; Meeti Mehta, BS; Janina Kueper, MD; John Smetona, MD; Justin Schreiber, MD; Joseph E. Losee, MD; Jesse A. Goldstein, MD
UPMC
2023-01-31
Pediatric Nasoorbitoethmoid Fractures: A Single Institution's Fifteen Year Experience
Anne E. Glenney, BA; Zhazira Irgebay, BA;Lucille G. Cheng, BA; Alexander J. Comerci, BS; Joseph W. Mocharnuk, BA; Madeleine K. Bruce, BA; Erin E. Anstadt, MD; Lucas A. Dvoracek, MD; Joseph E. Losee, MD; Jesse A. Goldstein, MD
University of Pittsburgh Medical Center (UPMC)
2023-01-30
Plastic Surgery Match: Are We Speaking The Same 'Language' Regarding Groups URiM And Increasing Diversity Within The Field?
Nerone K.O. Douglas, BS, MSc Carolyn De La Cruz, MD Francesco Egro, MBChB, MSc, MRCS
University of Pittsburgh
2023-01-31
Propeller Buccal Myomucosal Flap: anatomical study and preliminary experience in 25 primary cleft palate reconstructions
Anthony DeLeonibus, MD; Vikas S. Kotha, MD; Samantha Maasarani, MD, MPH; Brian Figueroa, MD; Majid Rezaei, DDS, MSc; Nicholas Sinclair, MD; Ying Ku, BS; Lianne Mulvihill, BA; Bahar Bassiri Gharb, MD, PhD; Antonio Rampazzo MD, PhD
Cleveland Clinic Foundation
2023-02-10
Psychiatric Comorbidities in a Large, Single Institution Database of Pediatric Facial Fractures
Joseph W. Mocharnuk, BA, Anne Glenney, BA, Zhazira Irgebay, BA, Sayna Matinrazm, BA, Jesse A. Goldstein, MD
University of Pittsburgh School of Medicine
2023-02-10
Resource utilization and disparity characteristics associated with potentially avoidable transfers of pediatric patients with facial fractures
Lucille G. Cheng, BA, Aniket Dhariwal, BA, Anne E. Glenney, BA, Shirley Xiaosu Liu, BS, Richard A. Saladino, MD, Lucas A. Dvoracek, MD; Jesse A. Goldstein, MD
University of Pittsburgh Medical Center
2023-02-08
"Potentially avoidable" transfers (PAT) of pediatric facial fracture patients place undue burden on families to travel outside their communities while diverting resources from urgent cases. Previous work has focused on characterizing these transfers in specific injury subtypes, but it is critical to examine factors influencing transfer and understand the impact of these transfers, on a larger patient cohort and broader craniofacial fracture spectrum. A retrospective review was performed of patients under 18 years of age who were evaluated for facial fractures at a pediatric level I trauma center between 2006 and 2021. PAT was defined as a patient with a length of stay less than one day, no admission, no surgery, and no emergency procedure performed after transfer. Variables studied included demographics, etiology, medical history, associated injuries, treatments, and outcomes. 3120 pediatric patients were included; nearly half (40.1%) were transferred and 299 (24.1% were categorized as PAT. Key patient characteristics associated with PAT likelihood were Black race (p=0.036), being uninsured (p=0.004), less than 6 years of age (p=0.008), and orbit or mandible fractures (p=0.001 and p=0.007, respectively). Odds ratio analysis demonstrated TAP likelihood was 3 times higher for a Black patient with mandible or orbit fracture (p=0.001 and 0.004, respectively). "Potentially avoidable" transfers are a significant burden to patients and hospital systems. This study describes factors associated with such transfers in pediatric facial fractures using one of the largest pediatric facial fracture databases to date. We recommend further research in causes of racial and socioeconomic transfer disparities and improvement in transfer protocols.
Safety of intubation methods in patients with LeFort pattern facial trauma
Joseph Easton, Kiersten Woodyard, Doug Dembinski, Ryan Gobble
University of Cincinnati Medical Center
2023-01-31
Socioeconomic and Racial Disparities in Pediatric Craniofacial Trauma
Yadira Villalvazo, MD, MS1 Anne Glenney, BS1 Joseph Mocharnuk, BS1 Zhazira Irgebary, BA1 Lucy Cheng, BA1 Meeti Mehta, BS1 Casey Zhang, BA1 Jesse A. Goldstein, MD1 Joseph E. Losee, MD1
1 Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Department of Plastic Surgery, Pittsburgh, PA
2023-02-09
The Utility and Effectiveness of Non-Invasive Intracranial Pressure Monitoring in Craniosynostosis: A Systematic Review
Quan Lu, BA, Anthony DeLeonibus, MD, Niyant Patel, MD
N/A
2023-02-15
Transnasal approach with endoscopic assistance in treatment of midline nasal dermoids with intracranial extension
Kiersten C. Woodyard MPH. Douglas Dembinski MD. Jesse Skoch MD. Brian S. Pan MD
University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center.
2023-02-10
Trends in Face Call at a Level One Pediatric Hospital and Two Trauma Centers
Rajib Chowdhury MD1, Nikhi Paul Singh MD, MBA1, Melissa Cullom MD1, William Wooden MD1
Indiana University
2023-01-31
Underdiagnosis of syndrome of trephined in patients undergoing cranioplasty
Taborah Zaramo B.S., Hunter Stecko B.S, Kerry-Ann S. Mitchell MD-PhD
The Ohio State University Department of Plastic and Reconstructive Surgery
2023-02-10
