Publications by authors named "Vikram Mookerjee"
Background: Brassiere (bra) size is commonly used when patients and plastic surgeons discuss breast procedures. Variations in sizing between manufacturers can affect patient-surgeon communication and postoperative satisfaction. This study quantifies bra cup volume across alphanumeric sizes and manufacturers to describe variance and improve preoperative communication for shared decision-making.
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- Face transplantation offers significant physical and psychological benefits for those with severe facial disfigurements, with this report updating on the long-term psychosocial outcomes of eight recipients.
- The study involved follow-up assessments of patients who received transplants from 2011 to 2020, utilizing a variety of psychological evaluation tools to gauge their well-being.
- Findings indicated that while older recipients reported better mental health and support use, there was a decline in self-reported quality of life and an increase in depression scores over time, highlighting the need for ongoing psychological support and research in this area.
Background: Rhinoplasty is one of the most commonly performed facial gender-affirming surgeries (FGASs) for transgender females, but well-established morphometric parameters describing feminizing nasal changes do not exist.
Objectives: Describe the author's technique for feminization rhinoplasty, analyze the changes in 3-dimensional nasal anthropomorphic parameters, and describe patient-reported outcomes.
Methods: Three-dimensional photogrammetric evaluation was performed both preoperatively and postoperatively in transgender female patients who underwent FGAS.
Article Synopsis
- The study examines disparities in perioperative outcomes for breast cancer patients undergoing mastectomy across five racial groups using data from the ACS-NSQIP database from 2008 to 2021.
- Among the 222,947 female patients analyzed, the majority were white (68%), with significant findings related to complications and readmissions based on race; specifically, Asian patients had lower complication rates while American Indian/Alaska Native women faced the highest risks.
- The results highlight the need for targeted approaches in treating at-risk populations, particularly for American Indian/Alaska Native women who show increased vulnerability to surgical and medical complications.
Background: Breast fat necrosis (BFN) is a non-cancerous condition affecting the adipose tissue. Despite incidence rates of up to 25% after breast surgery, little is known about risk factors and postoperative outcomes following the surgical treatment of BFN.
Methods: The National Surgical Quality Improvement Program of the American College of Surgeons (2008-2021) was queried to identify female patients diagnosed with and surgically treated for BFN.
Background: Control of nasal tip position is critical to final rhinoplasty outcomes. Two frequent methods of exerting tip control are columellar strut and caudal septal extension graft (SEG). Past work has demonstrated that SEG are better able to preserve tip position.
View Article and Find Full Text PDFBackground: Face transplantation has emerged as a viable solution for reconstructing the most complex facial injuries. Previous work has demonstrated that surgical revisions are necessary to optimize outcomes. The authors' group has updated the previous report of revisions in their cohort, quantified and described which revisions were performed for functional, aesthetic, or mixed indications, and described the rationale, safety, and long-term outcomes of these revisions.
View Article and Find Full Text PDFUnlabelled: Facial vascularized composite allotransplantation (fVCA) represents a valuable surgical option for reconstruction of the most devastating facial defects. There is a mounting body of evidence suggesting that healthcare disparities exist for a variety of other surgical and nonsurgical procedures. We aimed to investigate the potential existence of racial and ethnic disparities in the field of fVCA.
View Article and Find Full Text PDFBackground: Office-based surgery can increase logistical and financial efficiency for patients and surgeons. The current study compares wide-awake, office-based carpal tunnel release to wide-awake operations performed in the operating room in terms of volume, financial burden, narcotic prescriptions, and adverse events.
Methods: Operations performed under local-only anesthesia from 2010 to 2020 were identified in a national administrative database (PearlDiver).
Background: Trigger finger release (TFR) has traditionally been performed in outpatient operating rooms. More recently, TFR may be performed in the office setting to achieve greater efficiency and cost savings.
Methods: The 2010-2020 Q2 PearlDiver M91Ortho data set was analyzed for cases of TFR.
Background: A comprehensive comparison of surgical, aesthetic, and quality of life outcomes by reduction mammaplasty technique does not exist. We sought to ascertain the effect of technique on clinical, aesthetic, and patient-reported outcomes.
Methods: Patients with symptomatic macromastia undergoing a superomedial or inferior pedicle reduction mammoplasty by a single surgeon were identified.
Single Stitch Vicryl Mesh Wrap for Prepectoral Implant Breast Reconstruction.
Plast Reconstr Surg Glob Open
June 2023
Article Synopsis
- * A retrospective review compared outcomes between 12 patients using Vicryl mesh and 34 patients using traditional acellular dermal matrices, focusing on complications, operative time, and costs.
- * The Vicryl group showed low complication rates and required significantly less surgical time (35.7 min vs. 68.0 min), resulting in a cost savings of $8,273 per breast compared to the acellular dermal matrix method.
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
- Tranexamic acid (TXA) is often used in surgeries like facial feminization but raises concerns about potential venous thromboembolic events (VTE) due to its prothrombotic nature.
- A study reviewed 79 facial feminization surgeries conducted between 2015 and 2022, focusing on patients' demographics, surgical procedures, and outcomes related to TXA usage and anticoagulation.
- The findings indicated no significant increase in VTE rates or other complications between patients who received TXA and those who didn't, suggesting it may be safe for use in patients with a history of estrogen supplementation.
Article Synopsis
- - Vascularized composite allotransplantation (VCA) is a new surgical method that helps treat severe injuries, such as losing limbs or facial injuries, by transplanting various tissue types like skin, bone, and muscle.
- - The body's immune system often rejects VCA grafts, especially those with skin, due to their strong antigenicity, which challenges the balance between accepting and rejecting the transplant.
- - Recent research is uncovering the immune cells involved in graft rejection, aiming to develop targeted therapies that could improve the management of VCA transplant patients and potentially reduce the need for lifelong immunosuppression.
Combined Tripier and V-Y Advancement Flaps for Reconstruction of Large Lid-cheek Junction Defects.
Plast Reconstr Surg Glob Open
March 2023
Reconstruction of lid-cheek junction defects has a known risk of ectropion. Cervicofacial flaps require significant dissection and can still be prone to ectropion. V-Y advancement flaps have been described as less morbid, but their use is limited to moderate-size defects that do not involve the lid margin.
View Article and Find Full Text PDFBackground: The efficacy of antibiotic utilization following reduction mammaplasty has not been well studied. Furthermore, there is a lack of data describing subgroups who are historically at high risk for surgical site infection (SSI), specifically the obese population.
Objectives: This study compares SSI rates in reduction mammaplasty patients who received postoperative courses of antibiotics with those who did not.
Background: Patients with dentofacial anomalies may undergo orthognathic surgery to address functional and aesthetic concerns. Past works have evaluated determinants affecting length of stay (LOS) in patients undergoing upper and/or lower jaw surgery alone. No studies have assessed the addition of genioplasty to double-jaw (Lefort I, bilateral sagittal split osteotomy (BSSO))) surgery and its effect on LOS and other outcomes.
View Article and Find Full Text PDFPurpose: Extensor tendon lacerations (ETLs) are a common and debilitating injury for thousands of Americans annually. No study has attempted to estimate their economic impact. The objective of this study was to estimate the economic impact of ETLs in America.
View Article and Find Full Text PDFPurpose: Flexor tendon lacerations are a common and debilitating injury for thousands of Americans annually. Despite this, no study has attempted to estimate the economic impact of these injuries. The objective of this study was to estimate the economic impact of flexor tendon lacerations in America.
View Article and Find Full Text PDFUterus transplantation as a fertility option in transgender healthcare.
Int J Transgend Health
April 2019