Publications by authors named "Jean Carlo Rivera"
Purpose: Facial feminization surgery (FFS) is associated with improved psychological outcomes in transgender patients. We aimed to evaluate the impact of FFS on patient satisfaction with facial appearance using validated, patient-reported outcome tools.
Methods: Patients were recruited to complete a FACE-Q survey at least 6 months after their FFS.
Facial Lacerations Related to Recreational Activities: A National 10-Year Evaluation From US Emergency Departments.
Craniomaxillofac Trauma Reconstr
September 2024
Study Design: This study serves as a nationally representative retrospective cohort of U.S emergency department visits related to facial lacerations caused by recreational activities.
Objective: The aim of this work is to offer a representative sample of facial laceration and identify the recreational activities associated with the highest risk of such injuries.
Background: Finger replantation outcomes are influenced both by injury characteristics and by hospital and patient factors, such as hospital type/location and patient gender or insurance. Finger replantation success rates have been shown to be higher at hospitals with higher volumes of finger replants. This study examines the hospital and patient factors that influence hospital transfer and successful replantation in patients experiencing traumatic finger amputation.
View Article and Find Full Text PDFBackground: This study evaluates the racial distribution in Plastic and Reconstructive Surgery (PRS) publication authorship and illustrates the impact underrepresented in medicine (URiM) mentorship has on increasing diverse trainee contributions to the PRS peer-reviewed literature.
Methods: Articles published in the seven highest-impact PRS peer-reviewed journals within the last 10 years (2012-2022) were reviewed and analyzed for first and senior authors' race and ethnicity, publication year, and citation count.
Results: A total of 23,549 publications were identified of which 8250 were from the US-based institutions.
Facial feminization surgery (FFS) is characterized by a series of relatively diverse procedures aimed at aligning skeletal and soft tissue facial appearance with one's experienced feminine gender. Although there are several well-described outcomes from surgical techniques, there is no standardized methodology to provide reliable analyses of postoperative FFS outcomes. This paper describes the first reliable and reproducible technique to accurately and consistently measure post-FFS changes to guide surgical planning to optimize patient outcomes.
View Article and Find Full Text PDFArticle Synopsis
- This study investigates how the severity of metopic synostosis, measured by artificial intelligence, impacts long-term neurocognitive outcomes in children.
- Results show that greater severity correlates with lower reading comprehension and that older age at surgery is linked to poorer visuomotor integration scores.
- The findings suggest that timely surgical correction might help address neurodevelopmental challenges associated with the condition.
Article Synopsis
- - The study evaluates the quality and readability of online resources about Facial Feminization Surgery (FFS), aiming to improve patient understanding and outcomes.
- - Analyzing 120 websites revealed that the average readability was at an 11.68 grade level, with most sites rated poorly on important quality metrics, such as clarity and support resources.
- - Community-based websites tended to provide clearer descriptions of FFS processes and benefits, but academic sites were less biased and offered more support information.
Article Synopsis
- The study investigates cognitive outcomes in children aged 6-18 who underwent surgery for non-syndromic craniosynostosis, focusing on different types such as sagittal, metopic, and unicoronal synostosis.
- A total of 204 children were tested, with results indicating that those with sagittal synostosis performed better in various cognitive measures, including verbal IQ and visuomotor integration, compared to those with metopic synostosis.
- The findings suggest that even after surgical correction for craniosynostosis, some cognitive deficits may persist, particularly in children with metopic and unicoronal synostosis due to potential effects on brain structure.
Article Synopsis
- - Reconstruction for microtia significantly reduces psychosocial issues for patients, highlighting its importance for mental health and well-being.
- - At a major medical center, only about 50% of patients with microtia were seen by a reconstructive craniofacial surgeon at any stage.
- - There is concern that patients who are monitored early for hearing problems are not being referred promptly for reconstructive surgery.
Article Synopsis
- Unilateral lambdoid synostosis is the least common type of single-suture craniosynostosis, which involves premature fusion of a skull suture.
- The primary surgical method for correction is cranial vault remodeling, with advances in preoperative virtual surgical modeling enhancing surgical planning and efficiency.
- A case study is presented involving a 7-month-old boy who successfully had cranial vault reconstruction using medically modeled techniques.
Article Synopsis
- Helmet therapy is crucial for treating deformational plagiocephaly, but access to this treatment can be limited, especially for patients with Medicaid.
- A retrospective study analyzed data from 219,869 referrals between 2014 and 2020, finding that Medicaid patients were less likely to receive helmets and more likely to experience delayed treatment.
- The study revealed significant regional variations in access, with some states showing better access for Medicaid patients, but overall delays and late presentations were consistent across all states, suggesting that state-specific Medicaid policies influence treatment availability.
Article Synopsis
- A study analyzed the effects of insurance status on the treatment outcomes of helmet therapy for Deformational Plagiocephaly (DP) using data from over 211,000 patients.
- Findings revealed that Medicaid recipients were more likely to have residual head flattening post-treatment compared to those with private insurance.
- Additionally, providers rated the success of helmet therapy lower for Medicaid patients, suggesting that caregivers of these patients may need more support to improve outcomes.
Article Synopsis
- * It highlights alarming statistics regarding female representation in academic ranks, with only 2.4% of full professors being female and a gradual increase to 32.0% among assistant professors.
- * The research also shows stark differences in experience levels, finding that the percentage of female faculty decreases with increased years in practice, with only 5.9% of those with over 30 years since graduation being female.
Article Synopsis
- Deformational plagiocephaly and brachycephaly, conditions caused by external forces leading to skull flattening in infants, are commonly treated with orthotic helmet therapy.
- A study of over 140,000 patients found that older age, greater severity at the start of treatment, and noncompliance were linked to poorer outcomes.
- Results suggest that earlier referral for helmet therapy is crucial, particularly for severe cases, and that factors like age at treatment and adherence to protocols need to be addressed for better success rates.
Article Synopsis
- Facial feminization surgery (FFS) is a crucial part of gender-affirming surgery for those wanting to align their appearance with their gender identity, but trends and prevalence in the U.S. remain unclear.
- From 2008 to 2017, over 3,000 patients underwent gender-affirming surgery, with costs increasing significantly from around $13,657 to $50,789.
- FFS was performed on about 9.1% of gender-affirming surgery patients, mainly in the Western and Northeast U.S., and the procedure was mostly funded through self-pay and Medicaid options.
Impact of the Step 1 Scoring Change on the Upcoming Application Cycle.
Plast Reconstr Surg Glob Open
July 2022
Background: Autologous breast reconstruction is associated with superior patient-reported outcomes compared with prosthetic techniques, but little is known about the relationship between autologous flap mass and patient satisfaction. We hypothesized that a higher differential mass (ratio of flap mass to mastectomy mass) would be associated with greater satisfaction with reconstruction.
Methods: In this retrospective study, patients who underwent autologous breast reconstruction between 2015 and 2020 with a deep inferior epigastric perforator (DIEP) flap completed the BREAST-Q survey.