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Diaddigo SE, Asadourian PA, Lavalley MN, Marano AA, Rohde CH. Masculinizing Chest Reconstruction in Adolescents and Young Adults: An Analysis of National Surgical Quality Improvement Program Data. Ann Plast Surg 2024; 92:253-257. [PMID: 38198631 DOI: 10.1097/sap.0000000000003735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2024]
Abstract
BACKGROUND Masculinizing chest reconstruction (MCR) has been shown to improve quality of life and gender dysphoria in transmasculine adult patients. As nationwide access to gender-affirming care expands, more adolescents are seeking MCR. However, there is a paucity of literature examining patient characteristics, safety, and disparities among this population. METHODS Cases of MCR were selected from the pediatric and adult American College of Surgeons and National Surgical Quality Improvement Program. Adolescent (18 years and older) and young adult (aged 19-25 years) transgender patients were analyzed for differences in demographics, comorbidities, surgical characteristics, and postoperative complications. RESULTS A total of 1287 cases were identified, with an adolescent cohort of 189 patients. The proportion of White patients to other races was greater among adolescents than young adults (91.2% vs 82.4%, P = 0.007). Of adolescents and young adults, 6.0% and 11.1% identified as Hispanic/Latino, respectively (P = 0.059). Rates of all-cause postoperative complications were similar between adolescents (4.2%) and young adults (4.1%). Multivariate binary logistic regression showed that Black or African American patients experienced more all-cause postoperative complications than other races after controlling for American Society of Anesthesiologists classification, age group, and body mass index (odds ratio, 2.8; 95% confidence interval, 1.3-5.9; P = 0.008). CONCLUSIONS Masculinizing chest reconstruction is equally safe for transmasculine adolescent and young adult patients. However, our data point to racial disparities in access to care and postoperative outcomes. An intersectional approach is needed to better understand the unique health care needs and barriers to care of minority transgender youth.
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Affiliation(s)
- Sarah E Diaddigo
- From the Division of Plastic and Reconstructive Surgery, New York-Presbyterian Hospital, Columbia University Medical Center, New York, NY
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Dagi AF, Marano AA, Rohde CH. Nipple Sensation Loss after Oncoplastic Breast Reduction. Plast Reconstr Surg 2023; 152:766e-767e. [PMID: 37768230 DOI: 10.1097/prs.0000000000010672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/29/2023]
Affiliation(s)
- Alexander F Dagi
- Division of Plastic and Reconstructive Surgery, New York Presbyterian Hospital/Columbia University Medical Center, New York, NY
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Asadourian PA, Murphy AI, Diaddigo SE, LaValley MN, Marano AA, Rohde CH, Wu JK. And Then There Was One: 2021-2022 COVID-19 Single Away Rotation Policy's Impact on the Geography of the Integrated Plastic Surgery Match. Plast Reconstr Surg 2023; 151:1057e-1058e. [PMID: 37163457 DOI: 10.1097/prs.0000000000010178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Affiliation(s)
- Paul A Asadourian
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Columbia University Irving Medical Center New York Presbyterian Hospital, New York, NY
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Marano AA, Noyes M, Eisenbeis L, Hedian HF, Segna K, Neira PM, Thomas K, Lee WPA, Redett RJ, Coon D. Building an Academic Transgender Medicine Center of Excellence: The 5-Year Johns Hopkins Experience. Acad Med 2023; 98:569-576. [PMID: 36608643 DOI: 10.1097/acm.0000000000005135] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
Gender-affirming care for transgender and gender diverse (TGD) individuals is a multidisciplinary endeavor that requires organized efforts of many specialized practitioners. TGD individuals experience many health care barriers, including the scarcity of multidisciplinary teams formed to coordinate and deliver complex care in an efficient and affirming way. The Johns Hopkins Center for Transgender Health was founded in 2017 with the mission of decreasing health disparities and improving the health of the TGD community. The authors present their experience building the center around a service line model in which patients have 1 point of contact, they are tracked throughout the care process, and the multidepartmental practitioners involved in their care are aligned. This model allowed for a patient-centered experience in which all involved disciplines were seamlessly integrated and the patient could navigate easily among them. With the structure and mission in place, the next challenge was to develop an infrastructure for culturally competent care. Through competency training and adjustment of systems-based logistics, measures were put in place to prevent traumatic experiences, such as misgendering, use of culturally inappropriate vocabulary, and use of incorrect names. Partnerships among colleagues in the fields of plastic surgery, urology, gynecology, otolaryngology, anesthesia, psychiatry/mental health, internal medicine, endocrinology, fertility, nursing, social work, speech therapy, and pediatrics/adolescent care were necessary to provide the appropriate breadth of services to care for TGD patients. Since its inception, the center has seen steady and continual growth, with more than 2,800 patients in its first 5 years. By sharing their experience in creating and developing a center of excellence, the authors hope to provide a blueprint for others to expand health care quality and access for TGD individuals.
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Affiliation(s)
- Andrew A Marano
- A.A. Marano is a gender and microsurgery fellow, Brigham Center for Transgender Health, Brigham and Women's Hospital, Boston, Massachusetts
| | - Melissa Noyes
- M. Noyes is program manager, Brigham and Women's Center for Transgender Health, Brigham and Women's Hospital, Boston, Massachusetts. At the beginning of this work, the author was program coordinator, Center for Transgender Health, Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Lauren Eisenbeis
- L. Eisenbeis is lead physician assistant, Luminis Health, Anne Arundel Medical Center Plastic and Reconstructive Surgery Group, Annapolis, Maryland. At the beginning of this work, the author was a physician assistant, Johns Hopkins Center for Transgender Health, Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Helene F Hedian
- H.F. Hedian is assistant professor of medicine, Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Kara Segna
- K. Segna is assistant professor of anesthesiology and critical care medicine, Department of Anesthesiology, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Paula M Neira
- P.M. Neira is clinical program director and founder, Johns Hopkins Center for Transgender Health, program director, LGBTQ+ Equity and Education, Office of Diversity, Inclusion and Health Equity, Johns Hopkins Medicineassistant professor, Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Kate Thomas
- K. Thomas is director of clinical services, Sex and Gender Clinic, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - W P Andrew Lee
- W.P.A. Lee is professor, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas. At the beginning of this work, the author was professor and director, Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Richard J Redett
- R.J. Redett is professor and chair, Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Devin Coon
- D. Coon is clinical director, Brigham Center for Transgender Health, Brigham and Women's Hospitalassociate professor, Harvard Medical School, Boston, Massachusetts. At the beginning of this work, the author was chief medical director and founder, Johns Hopkins Center for Transgender Healthassociate professor, Departments of Plastic and Reconstructive Surgery and Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, Maryland
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Norman S, Chae JK, Marano AA, Baaj AA, Greenfield JP, Otterburn DM. Myofascial Flap Closure Decreases Complications in Complex Surgery of the Craniocervical Junction in Ehlers-Danlos Patients. Ann Plast Surg 2022; 88:S201-S204. [PMID: 35513320 DOI: 10.1097/sap.0000000000003176] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Patients with Ehlers-Danlos syndrome (EDS) are at elevated risk for soft tissue complications when undergoing decompression with or without fusion of the craniocervical junction. We have previously shown that muscle flap closure can decrease reoperative rates. This study investigated whether myofascial flap closure improved clinical outcomes after simple or complex surgery of the craniocervical junction in EDS patients specifically. METHODS We performed a retrospective chart review of EDS patients who had undergone surgery for Chiari malformation at the Weill Cornell Medical Center between 2013 and 2020. Postoperative complications were recorded, including infection, wound dehiscence, seroma, hematoma, hardware removal, cerebrospinal fluid (CSF) leak, reoperation, and pseudomeningocele. Patients were stratified by type of closure and type of surgery. Fisher exact test was used for statistical comparison. RESULTS Between 2013 and 2020, 62 EDS patients who had surgery of the cervicocranial junction were reviewed. Of these, 31 patients had complex surgery with myofascial flap closure and 22 had simple surgery with traditional closure. The mean age at the time of surgery was 21.3 years. There were no significant differences in wound complications or reoperation rates between the simple surgery and complex surgery groups. In addition, there were no significant differences in complications between complex surgery with flap closure and simple surgery with traditional closure. Our CSF cutaneous fistula rate was 0%, considerably lower than rates reported in the literature, and, in one case, a patient developed a postoperative pseudomeningocele secondary to a dural leak, but the myofascial flap closure prevented its progression. CONCLUSIONS Patients with EDS undergoing surgery of the cervicocranial junction may benefit from myofascial flap closure. Flap closure reduced complications after complex surgery of the craniocervical junction to the level of simple surgery. Our CSF leak rate was exceptionally low and only one patient experienced pseudomeningocele. Myofascial flaps are safe to perform in the EDS cohort and prevented CSF cutaneous fistula formation.
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Affiliation(s)
- Sofya Norman
- From the New York Presbyterian Hospital-Weill Cornell Medical Center, New York, NY
| | - John K Chae
- From the New York Presbyterian Hospital-Weill Cornell Medical Center, New York, NY
| | - Andrew A Marano
- From the New York Presbyterian Hospital-Weill Cornell Medical Center, New York, NY
| | - Ali A Baaj
- University of Arizona-Banner Health, Phoenix, AZ
| | - Jeffrey P Greenfield
- From the New York Presbyterian Hospital-Weill Cornell Medical Center, New York, NY
| | - David M Otterburn
- From the New York Presbyterian Hospital-Weill Cornell Medical Center, New York, NY
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Asadourian PA, Murphy AI, Marano AA, Rohde CH, Wu JK. Home Field Advantage: Assessing the Geographic Trends of the Plastic Surgery Residency Match during the COVID-19 Pandemic. J Surg Educ 2021; 78:1923-1929. [PMID: 34210645 PMCID: PMC8635498 DOI: 10.1016/j.jsurg.2021.06.002] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Revised: 06/01/2021] [Accepted: 06/06/2021] [Indexed: 05/22/2023]
Abstract
OBJECTIVE In previous plastic surgery residency match cycles, in-person activities at other institutions, such as away rotations, have facilitated matches outside of an applicant's home program or region. The COVID-19 pandemic, however, limited these in-person opportunities. Therefore, we hypothesized that applicants of the 2021 cycle would be more likely to match into programs with which they have existing geographic connections when compared to previous years. DESIGN Residency websites and social media accounts were searched for resident names and educational information for those matching in 2021 and 2015 to 2020. Outcomes included proportion of applicants matching at the program affiliated with their medical school ("home program"), or matching in the same state or United States Census Map region as their medical school or undergraduate institution. Subgroup analyses were stratified by program region, incoming resident class size, and Doximity residency reputation ranking. SETTING Columbia University (New York). PARTICIPANTS For the 2015 to 2020 residency cycles, 963 residents were identified from 78 (95.1%) programs. For 2021, 159 incoming interns were identified from 70 (82.3%) programs. RESULTS 2021 applicants matched into their home program at higher rates than 2015-2020 applicants (36.0% vs. 24.1%, p = 0.019). This trend was similar regardless of program region or size. This increase was significant for programs ranked outside of the top 30 (41.5% vs. 26.4%, p = 0.032), but not for the top 30 programs (32.1% vs. 22.3%, p = 0.128). Excluding those who matched at their home program, 2015 to 2020 and 2021 applicants matched in the same state or region of their medical school or undergraduate institution at similar rates (p > 0.05 for all). CONCLUSIONS During the COVID-19 pandemic, plastic surgery residency programs matched more applicants from affiliated medical schools than in previous years. This may result from lack of in-person opportunities for applicants at other programs. Alternative relationship-building opportunities may facilitate broader geographic connections in the 2022 cycle.
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Affiliation(s)
- Paul A Asadourian
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Columbia University Irving Medical Center-New York Presbyterian Hospital, New York, New York.
| | - Alexander I Murphy
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Columbia University Irving Medical Center-New York Presbyterian Hospital, New York, New York
| | - Andrew A Marano
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Columbia University Irving Medical Center-New York Presbyterian Hospital, New York, New York
| | - Christine H Rohde
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Columbia University Irving Medical Center-New York Presbyterian Hospital, New York, New York
| | - June K Wu
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Columbia University Irving Medical Center-New York Presbyterian Hospital, New York, New York
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Affiliation(s)
- Andrew A Marano
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Weill Cornell Medicine, New York, New York
| | - Matthew R Louis
- Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.,Johns Hopkins Center for Transgender Health, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Devin Coon
- Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.,Johns Hopkins Center for Transgender Health, Johns Hopkins University School of Medicine, Baltimore, Maryland
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Marano AA, Tan B, Coon D. Commentary on: A Three-Step Technique for Optimal Nipple Position in Transgender Chest Masculinization. Aesthet Surg J 2020; 40:NP626-NP627. [PMID: 32770208 DOI: 10.1093/asj/sjaa194] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Andrew A Marano
- Division of Plastic and Reconstructive Surgery, Weill Cornell Medicine, New York, NY
| | - Benny Tan
- Instructor of Plastic and Reconstructive Surgery, Johns Hopkins University, Baltimore, MD
| | - Devin Coon
- Plastic Surgery and Biomedical Engineering, Johns Hopkins University, Baltimore, MD
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Abstract
A nonspecific soft tissue mass of the hand can be difficult to diagnose due to the multitude of possible etiologies. In this case, we discuss our experience in diagnosing and treating intravascular papillary endothelial hyperplasia, or Masson's tumor, of the hand. The wide range of differential diagnoses and the morphological resemblance to angiosarcoma make Masson's tumor an important clinical entity to understand. The purpose of this study is to familiarize the reader with the appropriate diagnostic and treatment modalities that allow the clinician to recognize Masson's tumor, differentiate it from similar clinical entities, and institute the appropriate management regimen.
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Affiliation(s)
- Adam M Feintisch
- 1 Department of Surgery, Division of Plastic and Reconstructive Surgery, Rutgers - New Jersey Medical School, Newark, New Jersey, USA
| | - Andrew A Marano
- 1 Department of Surgery, Division of Plastic and Reconstructive Surgery, Rutgers - New Jersey Medical School, Newark, New Jersey, USA
| | - Gregory L Borah
- 1 Department of Surgery, Division of Plastic and Reconstructive Surgery, Rutgers - New Jersey Medical School, Newark, New Jersey, USA
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Marano AA, Henderson PW, Prince MR, Dashnaw SM, Rohde CH. Effect of MRI on breast tissue expanders and recommendations for safe use. J Plast Reconstr Aesthet Surg 2017; 70:1702-1707. [PMID: 29046262 DOI: 10.1016/j.bjps.2017.07.012] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2017] [Accepted: 07/26/2017] [Indexed: 10/18/2022]
Abstract
INTRODUCTION Ferromagnetic port-containing breast tissue expanders are currently labeled MRI-unsafe because of the presumption that magnets should not enter the machine. However, designating these devices as MRI-unsafe can lead to unnecessary procedures or suboptimal imaging choices. This study provides an ex vivo analysis of how breast tissue expanders behave when subjected to strong magnetic fields to determine which variables might affect clinical risk. METHODS Three different brands of tissue expanders were evaluated in three MRI environments. Translational force was determined using the deflection angle method. Torque on empty, saline-filled, and air-filled expanders was evaluated on a 0-4 scale. Magnetic field was measured using a gaussmeter. The weight required to prevent displacement of the expanders was determined for both air- and saline-filled expanders. Temperature over time was measured using an alcohol thermometer. RESULTS Magnetic field strength, deflection angle, and torque were the greatest in 3T MRI environments and varied by device manufacturer (Sientra > Mentor > Allergan). Saline-filled expanders required 240 mL and air-filled required 360 mL volume to make the torque undetectable, and the effect of torque could be mitigated with prone positioning. A weight of 120 g was required to prevent displacement of a saline-filled tissue expander and 870 g for an empty expander. There were no appreciable changes in temperature. CONCLUSIONS Previously described risks may be reduced by using a 1.5T MRI, device selection, filling expanders with saline, and prone positioning. MRI can be considered in patients with breast tissue expanders when appropriate peri-procedural choices have been made so that the benefits of undergoing MRI outweigh the risks.
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Affiliation(s)
- Andrew A Marano
- Division of Plastic and Reconstructive Surgery, Department of Radiology, Columbia University Medical Center, New York, NY, USA
| | - Peter W Henderson
- Division of Plastic and Reconstructive Surgery, Department of Radiology, Columbia University Medical Center, New York, NY, USA
| | - Martin R Prince
- Division of Plastic and Reconstructive Surgery, Department of Radiology, Columbia University Medical Center, New York, NY, USA
| | - Stephen M Dashnaw
- Division of Plastic and Reconstructive Surgery, Department of Radiology, Columbia University Medical Center, New York, NY, USA
| | - Christine H Rohde
- Division of Plastic and Reconstructive Surgery, Department of Radiology, Columbia University Medical Center, New York, NY, USA.
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Marano AA, Feintisch AM, Granick MS. Omental Flap for Thoracic Aortic Graft Infection. Eplasty 2015; 15:ic41. [PMID: 26229577 PMCID: PMC4518815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Affiliation(s)
- Andrew A. Marano
- Division of Plastic Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark,Correspondence:
| | - Adam M. Feintisch
- Division of Plastic Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark
| | - Mark S. Granick
- Division of Plastic Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark
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Marano AA, Hoppe IC, Halsey JN, Kordahi AM, Granick MS, Lee ES. Patterns of Intracranial Hemorrhage in Pediatric Patients with Facial Fractures. Craniomaxillofac Trauma Reconstr 2015; 9:35-9. [PMID: 26889346 DOI: 10.1055/s-0035-1558453] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2015] [Accepted: 02/22/2015] [Indexed: 10/23/2022] Open
Abstract
Intracranial hemorrhage (ICH) is a potentially fatal injury accompanying fractures of the cranium and facial skeleton. When occurring at a young age, ICH can lead to developmental delay, cerebral palsy, epilepsy, and death. It is therefore important for clinicians to recognize the presence of ICH early, and understand the factors that affect its prognosis. In this study, we aim to identify diagnostic and prognostic signs for ICH in pediatric facial fracture patients by examining aspects of patient presentation, concomitant injuries, and fracture patterns. Data were collected for all radiologically diagnosed facial fractures between January 2000 and December 2012 at a level I trauma center in Newark, NJ. This was then further refined to include only patients 18 years of age or younger who had a documented ICH. Patient age, Glasgow coma scale (GCS) on presentation, fracture location, type of hemorrhage, and certain aspects of management were collected from these records. Data were then analyzed by either Pearson chi-square test or a t-test to determine significant relationships. A total of 285 pediatric patients were found to have sustained a facial fracture during this time period, 67 of which had concomitant ICH; 46 of these patients were male and 21 were female, with average ages of 14.26 and 9.52 (p < 0.01), respectively. Causes of injury included motor vehicle accidents, pedestrians struck, assault, falls, gunshot injuries, and sports-related injuries. All patients who suffered injuries as a result of violent crimes (assault and gunshot injuries) were male. Although nearly all fracture patterns were significantly associated with the presence of ICH, mandibular fractures showed a significant negative association with the presence of ICH. In addition, patients who received surgical intervention were significantly younger than those who did not (7.7 vs. 13.7, p < 0.05). The GCS was significantly lower in patients who underwent ICP (intracranial pressure) monitoring or EVD (external ventricular drain) placement, suffered intraventricular hemorrhage, experienced worsening of hemorrhage on repeat imaging, and suffered fatal injuries. Our data also showed a significant association between the need for intubation in the emergency department and fatality. Because the consequence of ICH can be life threatening, proper diagnosis and management are imperative. The purpose of this study is to describe patterns associated with ICH in pediatric facial fracture patients to promote early recognition of the injury and understanding of poor prognostic signs.
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Affiliation(s)
- Andrew A Marano
- Division of Plastic Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey
| | - Ian C Hoppe
- Division of Plastic Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey
| | - Jordan N Halsey
- Division of Plastic Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey
| | - Anthony M Kordahi
- Division of Plastic Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey
| | - Mark S Granick
- Division of Plastic Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey
| | - Edward S Lee
- Division of Plastic Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey
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Marano AA, Feintisch AM, Datiashvili R. Giant Congenital Melanocytic Nevus of the Buttock. Eplasty 2015; 15:ic31. [PMID: 26171106 PMCID: PMC4473815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Affiliation(s)
- Andrew A. Marano
- Division of Plastic Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark,Correspondence:
| | - Adam M. Feintisch
- Division of Plastic Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark
| | - Ramazi Datiashvili
- Division of Plastic Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark
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Marano AA, Therattil PJ, Ajibade DV, Datiashvili RO. Ganglion cyst of the peroneus longus. Eplasty 2015; 15:ic20. [PMID: 25987943 PMCID: PMC4396405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Andrew A. Marano
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey
| | - Paul J. Therattil
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey,Correspondence:
| | - Dare V. Ajibade
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey
| | - Ramazi O. Datiashvili
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey
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Gholami S, Marano AA, Chen NG, Frentzen A, Chen CH, Eveno C, Lou E, Belin L, Szalay AA, Fong Y. Enhanced therapeutic effects of a novel oncolytic and anti-angiogenic vaccinia virus against triple-negative breast cancer. J Am Coll Surg 2012. [DOI: 10.1016/j.jamcollsurg.2012.06.347] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Belin LJ, Gholami S, Mojica KM, Marano AA, Zanzonico PB, Longo VA, Chen NG, Aguilar RJ, Szalay AA, Fong Y. GLV1h153, an oncolytic vaccinia virus carrying the human sodium iodide symporter, kills malignant pleural mesothelioma and facilitates PET imaging. J Am Coll Surg 2012. [DOI: 10.1016/j.jamcollsurg.2012.06.351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Gholami S, Chen CH, Lou E, Marano AA, Mojica KM, Chen NG, Aguilar RJ, Belin LJ, Longo VA, Zanzonico P, Szalay AA, Fong Y. Abstract 5660: Vaccinia virus GLV-1h153 in combination with 131I-iodine shows increased efficiency in treating triple-negative breast cancer in vivo. Cancer Res 2012. [DOI: 10.1158/1538-7445.am2012-5660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
BACKGROUND: Triple-negative breast cancers (TNBC) are aggressive tumors due to their inherent biology and the lack of receptors for hormonal/targeted therapy, namely estrogen, progesterone, and Her2/neu. The human sodium iodide symporter (hNIS) is a naturally occurring protein in some human breast and thyroid tissue which enables cells to concentrate iodine, including radioiodide. In this study, we investigated the therapeutic efficacy of a new oncolytic vaccinia virus, GLV-1h153 carrying the hNIS, in combination with radioiodine in a TNBC murine model. METHODS: GLV-1h153, a replication-competent vaccinia virus, was tested against the TNBC cell lines MDA-MB-231, MDA-MB-468, HCC-1937, and HCC-1143 at multiplicities of infections (MOI) of 0.1, 1.0, and 5. Cytotoxicity and viral replication were determined. Mammary fat pad tumors were generated in athymic nude mice with MDA-MB-231 cells. A subset of xenografts were infected with GLV-1h153 and ∼150 μCi of 124I-iodine was administered. Serial Focus 120 microPET were obtained for 131I dosimetry calculations. For the combination therapy study, 14 days after cell implantation, xenografts were treated with intratumoral injection of GLV-1h153 or PBS. One week after viral injection (day 21), xenografts were further randomized into 4 treatments groups: GLV-1h153 alone, GLV-1h153 and iodine (∼5 mCi of 131I), iodine alone, or PBS and followed for tumor growth. RESULTS: Greater than 90% cell kill was achieved in all cell lines within 5 days at an MOI of 5.0. GLV-1h153 replicated efficiently in all cell lines with a peak titer of 2.6 x107 viral plaque forming units per ml (>1300-fold increase from the initial viral dose) by day 4 in cell line MDA-MB-468. Only infected tumors were identified via PET scanning compared to controls. In vivo, administration of systemic radioiodine in combination with GLV-1h153 resulted in greater tumor regression, 24 mm3 compared to 146 mm3 for the viral-treated group only (p<0.05; days 21-40), a six-fold difference. CONCLUSION: GLV-1h153 infected, replicated in, and killed all TNBC cell lines effectively. This study is the first to our knowledege to demonstrate killing of TNBC by a novel vaccinia virus in combination with radioactive 131I-iodine in an in vivo xenograft model. Our results suggest that GLV-1h153 is a promising therapeutic agent in combination with 131I and merits further testing in the clinical setting.
Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 103rd Annual Meeting of the American Association for Cancer Research; 2012 Mar 31-Apr 4; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2012;72(8 Suppl):Abstract nr 5660. doi:1538-7445.AM2012-5660
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Affiliation(s)
| | - Chun-Hao Chen
- 1Memorial Sloan-Kettering Cancer Center, New York, NY
| | - Emil Lou
- 2University of Minnesota, Minneapolis, MN
| | | | | | | | | | | | | | - Pat Zanzonico
- 1Memorial Sloan-Kettering Cancer Center, New York, NY
| | | | - Yuman Fong
- 1Memorial Sloan-Kettering Cancer Center, New York, NY
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