Breast Reconstruction with the free TRAM or DIEP flap: patient selection, choice of flap, and outcomeMaurice Y Nahabedian
Johns Hopkins Medical Institutions, Plastic and Reconstructive Surgery, Baltimore, USA
Plast Reconstr Surg 110:466-75; discussion 476-7. 2002
..The incidence of lower abdominal bulge is reduced after DIEP flap reconstruction (p < 0.001). The DIEP flap can be an excellent option for properly selected women...
- Lower abdominal bulge after deep inferior epigastric perforator flap (DIEP) breast reconstruction
Maurice Y Nahabedian
Johns Hopkins University, Baltimore, MD 21287, USA
Ann Plast Surg 54:124-9. 2005
..Techniques for prevention and treatment include intraoperative assessment of the anterior rectus sheath, use of an adjuvant material for reinforcement if unstable, and vertical plication for bulge repair...
- Explantation of 41-year-old implants following primary breast augmentation
Maurice Y Nahabedian
Department of Plastic Surgery, Georgetown University, 3800 Reservoir Road NW, Washington, DC 20007, USA
Ann Plast Surg 58:91-4. 2007
..This case report will highlight the long-term outcome in a woman with Ivalon sponge breast implants and the reasons for explantation. The focus of the manuscript will include mammography, capsular contracture, and late hematoma...
Acellular dermal matrices in primary breast reconstruction: principles, concepts, and indicationsMaurice Y Nahabedian
Department of Plastic Surgery, Georgetown University, 3800 Reservoir Road, N W, Washington, DC 20007, USA
Plast Reconstr Surg 130:44S-53S. 2012
..The purpose of this article is to review some of the important principles and concepts to improve our understanding of how these matrices perform and what can be expected of them...
- The internal mammary artery and vein as recipient vessels for microvascular breast reconstruction
Maurice Nahabedian
Department of Plastic Surgery, Georgetown University, Washington DC, USA
Ann Plast Surg 68:537-8. 2012
..Current recipient vessels for microvascular breast reconstruction include the internal mammary and the thoracodorsal systems. This review will focus on the advantages of the internal mammary artery and vein and reasons for their preference...
- Nipple reconstruction
Maurice Y Nahabedian
Department of Plastic Surgery, Georgetown University Hospital, Washington, DC 20007, USA
Clin Plast Surg 34:131-7; abstract vii. 2007
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- The impact of breast reconstruction on the oncologic efficacy of radiation therapy: a retrospective analysis
Maurice Y Nahabedian
Georgetown University Hospital, Department of Plastic Surgery, Washington, DC 20007, USA
Ann Plast Surg 60:244-50. 2008
..2827). These results imply that tumor recurrence and patient demise may be increased when radiation therapy is performed following breast reconstruction. The need for a prospective inquiry is validated...
- Does AlloDerm stretch?
Maurice Y Nahabedian
Department of Plastic Surgery, Georgetown University, Washington, DC, USA
Plast Reconstr Surg 120:1276-80. 2007
- Breast reconstruction: a review and rationale for patient selection
Maurice Y Nahabedian
Department of Plastic Surgery, Georgetown University Hospital, Washington, DC 20007, USA
Plast Reconstr Surg 124:55-62. 2009
..Oncological variables include tumor size, cancer stage, and perioperative radiation. This article is structured to review the variables that are relevant when deciding upon a particular reconstructive option for a particular patient...
- Management of common and uncommon problems after primary breast augmentation
Maurice Y Nahabedian
Department of Plastic Surgery, Georgetown University, 3800 Reservoir Rd, NW, 1st Floor, PHC, Washington, DC 20007, USA
Clin Plast Surg 36:127-38, vii. 2009
..The diversity of these problems is remarkable and different principles and concepts should be adhered to for optimal management. This article reviews some of these problems and hopefully provides solutions for prevention and management...
- Autologous breast reconstruction following mastectomy
M Y Nahabedian
Department of Plastic Surgery, Georgetown University, Washington DC, USA
Handchir Mikrochir Plast Chir 40:248-54. 2008
..The purpose of this manuscript is to review the most common methods of breast reconstruction using autologous tissues...
- Managing the opposite breast: contralateral symmetry procedures
Maurice Y Nahabedian
Department of Plastic Surgery, Georgetown University, Washington DC 20007, USA
Cancer J 14:258-63. 2008
..In either case, it is important for plastic surgeons to be aware of the incidence of these procedures and the options available to them...
- AlloDerm performance in the setting of prosthetic breast surgery, infection, and irradiation
Maurice Y Nahabedian
Department of Plastic Surgery, Georgetown University Hospital, Washington, DC 20007, USA
Plast Reconstr Surg 124:1743-53. 2009
..The purpose of this study was to review the author's experience with AlloDerm-assisted prosthetic breast surgery and determine the tolerance in the setting of infection and irradiation...
- Breast reconstruction following subcutaneous mastectomy for cancer: a critical appraisal of the nipple-areola complex
Maurice Y Nahabedian
Johns Hopkins University, Baltimore, MD, USA
Plast Reconstr Surg 117:1083-90. 2006
..Several studies have evaluated the feasibility of subcutaneous mastectomy; however, there has been no study that has critically analyzed the aesthetic outcome of the nipple-areola complex following this approach...
- Breast deformities and mastopexy
Maurice Y Nahabedian
Department of Plastic Surgery, Georgetown University Hospital, Washington, DC, USA
Plast Reconstr Surg 127:91e-102e. 2011
..This article will review these and other conditions to provide a better understanding of the current available data and evidence for these operations...
- Secondary operations of the anterior abdominal wall following microvascular breast reconstruction with the TRAM and DIEP flaps
Maurice Y Nahabedian
Department of Plastic Surgery, Georgetown University, Washington, DC 20007, USA
Plast Reconstr Surg 120:365-72. 2007
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- Maximizing the use of the handheld Doppler in autologous breast reconstruction
Maurice Y Nahabedian
Department of Plastic Surgery, Johns Hopkins University, Georgetown University Hospital, 3800 Reservoir Road NW, Washington, DC 20007, USA
Clin Plast Surg 38:213-8. 2011
..This article focuses on the preoperative, intraoperative, and postoperative use of the handheld Doppler for free tissue transfer with an emphasis on perforator flap breast reconstruction...
- Acellular dermal matrix for secondary procedures following prosthetic breast reconstruction
Maurice Y Nahabedian
Department of Plastic Surgery, Georgetown University Hospital, Washington, DC 20007, USA
Aesthet Surg J 31:38S-50S. 2011
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- Unilateral failures in bilateral microvascular breast reconstruction
Samir S Rao
Department of Plastic Surgery, Georgetown University Hospital, Washington, DC 20007, USA
Plast Reconstr Surg 126:17-25. 2010
..Data on unilateral flap failure in bilateral microvascular breast reconstructions have been lacking, and strategies to address the challenges encountered in this situation are needed...
- Breast reconstruction in the elderly: preserving excellent quality of life
John A Girotto
Johns Hopkins Medical Institutes, Baltimore, MD 21286, USA
Ann Plast Surg 50:572-8. 2003
..The older patients maintained superior scores (better outcomes) over the younger patients in the subscales influenced by one's mental health...
- Outcomes for surgical coverage of pressure sores in nonambulatory, nonparaplegic, elderly patients
Jeffrey A Gusenoff
Division of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, 601 N. Caroline Street, Baltimore, MD 21287, USA
Ann Plast Surg 48:633-40. 2002
..With an increasing geriatric population, prevention and postoperative care are necessary to diminish the incidence, recurrence, and burden of pressure sores...
- Improved mandible function after hemimandibulectomy, condylar head preservation, and vascularized fibular reconstruction
M Y Nahabedian
Division of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, MD 21287, USA
Ann Plast Surg 46:506-10. 2001
..Its preservation in these patients will avoid the long-term problems associated with growth center loss such as malocclusion and concomitant maxillary deformity...
- Breast reconstruction with the DIEP flap or the muscle-sparing (MS-2) free TRAM flap: is there a difference?
Maurice Y Nahabedian
Johns Hopkins University, Baltimore, MD, USA
Plast Reconstr Surg 115:436-44; discussion 445-6. 2005
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- Secondary nipple reconstruction using local flaps and AlloDerm
Maurice Y Nahabedian
Division of Plastic and Reconstructive Surgery, The Johns Hopkins University, Baltimore, MD, USA
Plast Reconstr Surg 115:2056-61. 2005
- Symmetrical breast reconstruction: analysis of secondary procedures after reconstruction with implants and autologous tissue
Maurice Y Nahabedian
Johns Hopkins Medical Institutions, Baltimore, MD, USA
Plast Reconstr Surg 115:257-60. 2005
- Infectious complications following breast reconstruction with expanders and implants
Maurice Y Nahabedian
Department of Surgery, Johns Hopkins Medical Institutions, Baltimore, Maryland 21287, USA
Plast Reconstr Surg 112:467-76. 2003
..29 times higher than when no lymph nodes were removed. No significant association between implant infection and age, diabetes, tobacco use, tumor stage, timing of implant insertion, or chemotherapy was found...
- Operative management of neuromatous knee pain: patient selection and outcome
M Y Nahabedian
Division of Plastic and Reconstructive Surgery, Johns Hopkins Medical Institutions, Baltimore, MD, USA
Ann Plast Surg 46:15-22. 2001
..Follow-up ranged from 1 to 4 years. Selective denervation for neuromatous knee pain is beneficial in select patients. Patient satisfaction was 84% (21 of 25 patients) after the procedure. No patient was made worse...
- Medial pedicle reduction mammaplasty for severe mammary hypertrophy
M Y Nahabedian
Division of Plastic Surgery at Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA
Plast Reconstr Surg 105:896-904. 2000
..This study has demonstrated that medial pedicle reduction mammaplasty is a safe and reliable technique and should be given primary consideration in cases of severe mammary hypertrophy...
- Operative management and outcome of complex wounds following total knee arthroplasty
M Y Nahabedian
Department of Orthopedic Surgery, The Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA
Plast Reconstr Surg 104:1688-97. 1999
..The use of our proposed algorithm will facilitate management of these complex wounds...
- Decreased narcotic use with an implantable local anesthetic catheter after deep inferior epigastric perforator flap breast reconstruction
James H Boehmler
Department of Plastic Surgery, Georgetown University Hospital, 1st Floor PHC, 3800 Reservoir Rd, Washington, DC 20007, USA
Ann Plast Surg 62:618-20. 2009
..03). The use of an implantable local anesthetic catheter placed in the abdomen can decrease narcotic use in the postoperative period after deep inferior epigastric perforator flap breast reconstruction...
- Contour abnormalities of the abdomen after transverse rectus abdominis muscle flap breast reconstruction: a multifactorial analysis
Maurice Y Nahabedian
Division of Plastic and Reconstructive Surgery, Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA
Plast Reconstr Surg 109:81-7; discussion 88-90. 2002
..05). An analysis of associated factors demonstrated a significant increase in abnormal contour for the bilateral TRAM in the presence of a prior lower midline incision (p < 0.05)...
- Contour abnormalities of the abdomen after breast reconstruction with abdominal flaps: the role of muscle preservation
Maurice Y Nahabedian
Division of Plastic and Reconstructive Surgery, Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA
Plast Reconstr Surg 109:91-101. 2002
..Analysis of muscle-sparing and non-muscle-sparing methods demonstrates that the observed difference between the techniques is only explained for a lower bulge after the bilateral free TRAM flap (p = 0.04)...
- The internal mammary artery and vein as recipient vessels for microvascular breast reconstruction: are we burning a future bridge?
Maurice Y Nahabedian
Johns Hopkins University, Baltimore, MD, USA
Ann Plast Surg 53:311-6. 2004
..Options for future coronary revascularization would include the opposite internal mammary artery when available, a saphenous vein graft, or angioplasty...
- Viability and sensation of the nipple-areolar complex after reduction mammaplasty
Maurice Y Nahabedian
Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA
Ann Plast Surg 49:24-31; discussion 31-2. 2002
..The amount of breast tissue removed does not correlate with sensory outcome for both inferior and medial pedicle techniques. The pressure-specified sensory device is an excellent means of assessing sensory outcome...
- Factors associated with anastomotic failure after microvascular reconstruction of the breast
Maurice Y Nahabedian
Johns Hopkins University, Baltimore, MD 21287, USA
Plast Reconstr Surg 114:74-82. 2004
..The significance of delayed reconstruction may be related to its frequent association with previous lymph node dissection and/or radiation therapy resulting in perivascular fibrosis...
- Clinically manifested frontal lobe compression after anterior craniectomy and deep inferior epigastric perforator flap reconstruction
Maurice Y Nahabedian
Department of Neurosurgery, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA
Plast Reconstr Surg 112:1040-5. 2003
- Sentinel lymph node biopsy for the T1 (thin) melanoma: is it necessary?
Maurice Y Nahabedian
Division of Plastic and Reconstructive Surgery, Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA
Ann Plast Surg 50:601-6. 2003
..Superficial spreading or nodular melanoma larger than 0.9 mm should include sentinel lymph node biopsy regardless of other associated histological factors...
- Outcome and management of infected wounds after total hip arthroplasty
Jeffrey A Gusenoff
Division of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, 601 North Caroline Street, Baltimore, MD 21287, USA
Ann Plast Surg 49:587-92. 2002
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- Utility of the lateral arm flap in head and neck reconstruction
M Y Nahabedian
Division of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, MD 21287, USA
Ann Plast Surg 46:501-5. 2001
..The lateral arm flap is an excellent alternative to the radial forearm flap and should be included in the armamentarium of the reconstructive head and neck surgeon...
- Quantitation of breast sensibility following reduction mammaplasty: a comparison of inferior and medial pedicle techniques
Mehrdad M Mofid
Division of Plastic, Reconstructive, and Maxillofacial Surgery, The Johns Hopkins Hospital and School of Medicine, 601 N. Caroline Street, Baltimore, MD 21287, USA
Plast Reconstr Surg 109:2283-8. 2002
..Advances in measurement methods have allowed the authors to compare postoperative sensory outcomes reliably using two popular techniques of reduction mammaplasty...
- Gestational macromastia: a medical and surgical challenge
Sara A Bloom
Department of Plastic Surgery, Georgetown University, Washington, District of Columbia 20007, USA
Breast J 14:492-5. 2008
..Surgical therapies have included reduction mammaplasty and mastectomy. This report will highlight the successful medical and surgical management in a woman with severe gestational macromastia...
- Recipient vessel analysis for microvascular reconstruction of the head and neck
Maurice Y Nahabedian
Division of Plastic and Reconstructive Surgery, Johns Hopkins University, Baltimore, Maryland, USA
Ann Plast Surg 52:148-55; discussion 156-7. 2004
..03). Flap failure was not related to patient age, choice of recipient vessel, diabetes mellitus, previous irradiation, the method of arterial or venous anastomosis, use of an interposition vein graft, or the timing of reconstruction...
- Management strategies for pyoderma gangrenosum: case studies and review of literature
S M Rozen
Division of Plastic Surgery, Johns Hopkins Medical Institutions, Baltimore, MD, USA
Ann Plast Surg 47:310-5. 2001
..Long-term wound stabilization is obtained only through control of the systemic and local inflammatory process...
- Melanoma
Maurice Y Nahabedian
Division of Plastic and Reconstructive Surgery, Johns Hopkins University, Baltimore, MD 21287, USA
Clin Plast Surg 32:249-59. 2005
..This article serves as a guide for the physician considering surgical management of the melanoma patient...
- Symmetrical breast reconstruction: is there a role for three-dimensional digital photography?
Maurice Y Nahabedian
Johns Hopkins Medical Institutions, USA
Plast Reconstr Surg 112:1582-90. 2003
..However, the results demonstrated that autologous tissue reconstructions resulted in improved contour and volume symmetry, compared with implant reconstructions...
- Nipple-areola complex sensitivity after primary breast augmentation: a comparison of periareolar and inframammary incision approaches
M Mark Mofid
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, San Diego, La Jolla, California, USA
Plast Reconstr Surg 117:1694-8. 2006
..The purpose of this study was to precisely measure sensory thresholds at the nipple-areola complex in women who have undergone augmentation mammaplasty by either the inframammary or periareolar approach...
- Routine histologic examination of 728 mastectomy scars: did it benefit our patients?
Maurice Y Nahabedian
Plast Reconstr Surg 120:353. 2007
- Defining the "gold standard" in breast reconstruction with abdominal tissue
Maurice Y Nahabedian
Plast Reconstr Surg 114:804-6. 2004
- Scar wars: optimizing outcomes with reduction mammaplasty
Maurice Y Nahabedian
Plast Reconstr Surg 116:2026-9. 2005
- Cautionary note on the use of the internal mammary artery in breast reconstruction
Maurice Y Nahabedian
Plast Reconstr Surg 119:425-6. 2007
- Melanoma and decorative tattoos: is a black sentinel lymph node unequivocally metastatic?
Shai Rozen
Plast Reconstr Surg 113:1304-7. 2004
- Plastic surgery: technique or discipline?
Maurice Y Nahabedian
Plast Reconstr Surg 118:1653-5. 2006
