Search

Your search keyword '"Evan Matros"' showing total 302 results
Start Over Author "Evan Matros"
302 results on '"Evan Matros"'

11. The Preferred Design of the Profunda Artery Perforator Flap for Autologous Breast Reconstruction: Transverse or Diagonal?

Author

Zack Cohen, MD, Saïd C. Azoury, MD, Jonas A. Nelson, MD, MPH, Kathryn Haglich, BS, MS, Joseph H. Dayan, MD, MBA, Evan Matros, MD, MMSc, and Robert J. Allen, Jr, MD

Subjects
Surgery, RD1-811
Abstract

Background:. Since its introduction for autologous breast reconstruction in 2010, the profunda artery perforator (PAP) flap has emerged as a preferred choice when an abdominal flap is suboptimal. The traditional transverse design (tPAP) was popularized, given the inconspicuous donor scar. A diagonal design (dPAP) has since evolved to address some of the shortcomings of the tPAP. The authors aimed to compare outcomes of tPAP/dPAP flaps harvested for breast reconstruction by a single surgeon. Methods:. A retrospective review was conducted from 2017 to 2022 of patients undergoing tPAP versus dPAP-based breast reconstruction by a single surgeon at a tertiary cancer center. Patient variables and operative variables were assessed. Need for additional symmetrizing breast procedures were compared. Complications and BREAST-Q patient-reported outcome measures were analyzed. Results:. Thirty-nine flaps were used to reconstruct 35 breasts in 24 patients. Average follow-up for the group was 1.8 years. The groups were similar with respect to demographics. The majority of dPAP flaps had two perforators, whereas most tPAP flaps had one perforator. The dPAP flaps had greater average weights, width, and overall surface area. There were no cases of partial/total flap loss. Complications and PROM results were similar between the two groups. Conclusions:. The dPAP design allows for a larger skin paddle and greater tissue harvest and capture of cutaneous perforators, without increasing the risk of complications or compromising satisfaction. It should be considered as a viable option in patients unable to undergo abdominal-based reconstruction. Additional patients and multi-institutional efforts are necessary to better compare advantages of either design.

Published
2023
Full Text
View/download PDF

14. Virtual Surgical Planning and Three-Dimensional Models for Precision Sinonasal and Skull Base Surgery

Author

Conall W. Fitzgerald, Mohammad Hararah, Tim Mclean, Robbie Woods, Snjezana Dogan, Viviane Tabar, Ian Ganly, Evan Matros, and Marc A. Cohen

Subjects
head and neck surgery, skull base surgery, Microvascular Reconstruction, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
Abstract

Sinonasal and skull base malignancies represent a rare, heterogenous group of pathologies with an incidence of 0.556 per 100,000 persons in the population. Given the numerous critical anatomic structures located adjacent to the sinonasal cavity and skull base, surgery for tumors in this region requires careful pre-operative planning with the assistance of radiological imaging and intraoperative image guidance technologies to reduce the risk of complications. Virtual surgical planning (VSP) and three-dimensional models (3DMs) are adjunctive technologies which assist clinicians to better visualize patient anatomy using enhanced digital radiological images and physical stereolithographic models based on patients’ personal imaging. This review summarizes our institutional experience with VSP and 3DMs in sinonasal and skull base surgical oncology. A clinical case series is used to thematically illustrate the application of VSP and 3DMs in surgical ablation, reconstruction, patient communication, medical education, and interdisciplinary teamwork in sinonasal and skull base surgery.

Published
2023
Full Text
View/download PDF

22. D33. Surgical Management of Textured Breast Implants: Assessing Risk and Analyzing Patient-Reported Outcomes

Author

Ethan L. Plotsker, BA, Carrie S. Stern, MD, Francis D. Graziano, MD, Robyn N. Rubenstein, MD, Perri S. Vingan, BS, Kathryn Haglich, MS, Jasmine Monge, BS, Joseph J. Disa, MD, Babak J. Mehrara, MD, Joseph H. Dayan, MD, Robert Allen, Jr., MD, Evan Matros, MD, MPH, MMSc, Colleen McCarthy, MD, and Jonas A. Nelson, MD, MPH

Subjects
Surgery, RD1-811
Published
2023
Full Text
View/download PDF

28. Long-term Growth, Functional, and Aesthetic Outcomes after Fibula Free Flap Reconstruction for Mandibulectomy Performed in Children

Author

Farooq Shahzad, MBBS, MS, FACS, FAAP, Peter W. Henderson, MD, MBA, FACS, Evan Matros, MD, MMSc, FACS, and Peter G. Cordeiro, MD, FACS

Subjects
Surgery, RD1-811
Abstract

Background:. The long-term outcome of mandible reconstruction when performed in children has not been well documented. Methods:. This is a retrospective case series of patients who underwent immediate oncologic mandible reconstruction with a fibula free flap at younger than 18 years of age over a 20-year period, by a single surgeon, who had long-term follow-up. Results:. A total of 10 patients met inclusion criteria. Patient age ranged from 3 years and 8 months to 17 years and 9 months (mean 11 years). The etiology was malignant tumors in seven patients and benign locally aggressive tumors in three patients. All fibula flaps survived. All donor sites were closed primarily. The mean follow-up duration was 10 years and 5 months (range 3–20 years). The mean patient age at follow-up was 21 years and 10 months (range 8 years and 9 months to 30 years and 9 months). All patients achieved a regular diet and normal speech. Final occlusion was normal in seven of 10 patients. The aesthetic outcome, as evaluated by clinical examination, was a symmetric mandible in eight patients (in the other two the aesthetic asymmetry and malocclusion was minor and did not require operative intervention). Dental implants were ultimately placed in three patients. Leg function was normal in eight patients. Achilles lengthening and tendon transfer was required in one patient, and one patient developed ankle pain associated with running. Conclusion:. Mandible reconstruction in children with the fibula free flap provides excellent aesthetic and functional outcomes that are durable over time.

Published
2022
Full Text
View/download PDF

39. P43. ACELLULAR DERMAL MATRIX AND PREPECTORAL TWO-STAGE BREAST RECONSTRUCTION: A COHORT ANALYSIS OF ALLODERM, FLEXHD AND SURGIMEND

Author

Jacqueline J. Chu, BA, Kathryn Haglich, MS, Robyn Rubenstein, MD, Cayla McKernan, MS, PA-C, Tajah Bell, MS, Richard T. Poulton, BS, Carrie S. Stern, MD, Joseph J. Disa, MD, Michelle R. Coriddi, MD, Joseph H. Dayan, MD, Robert J. Allen, Jr., MD, Babak J. Mehrara, MD, Evan Matros, MD, MPH, MMSc, and Jonas A. Nelson, MD, MPH

Subjects
Surgery, RD1-811
Published
2022
Full Text
View/download PDF

42. Immediate Dental Implant Placement in the Oncologic Setting: A Conceptual Framework

Author

Rachel A. Anolik, MD, Jonas A. Nelson, MD, MPH, Evan B. Rosen, DMD, MPH, Joseph Disa, MD, Evan Matros, MD, MPH, and Robert J. Allen, Jr, MD

Subjects
Surgery, RD1-811
Abstract

Summary:. Historically, immediate dental implants have been reserved for patients with benign disease, with full dental rehabilitation rarely being accomplished in the oncologic setting due to concerns related to implant survival, flap compromise, and delay in initiation of adjuvant therapy. Recent developments in technology have made immediate dental implants using virtual surgical planning safe and reliable. At Memorial Sloan Kettering Cancer Center, we have implemented a workflow for immediate dental implant placement in the oncologic patient population that has become a routine part of maxillary and mandibular reconstruction. This approach begins with a multidisciplinary virtual surgical planning session and custom dental splints to be used for cutting and inset guides. Dental implants are placed intraoperatively at the time of tumor resection and reconstruction with the fibula flap. A temporary prosthesis, which can be worn during radiation therapy, is placed following a vestibuloplasty, approximately 4–6 weeks after the initial reconstruction. After the completion of radiation therapy and the resolution of edema, a permanent prosthesis is placed. When critically evaluating our experience, we have found that patients undergoing immediate dental implant placement have higher rates of implant survival and no delay in adjuvant therapy. The protocol described here in detail has successfully expanded the indications for immediate dental rehabilitation in the oncologic patient population.

Published
2021
Full Text
View/download PDF

43. Virtual Surgical Planning for Oncologic Mandibular and Maxillary Reconstruction

Author

Paige L. Myers, MD, Jonas A. Nelson, MD, Evan B. Rosen, DDS, Robert J. Allen, Jr, MD, Joseph J. Disa, MD, and Evan Matros, MD, MPH, MMSc

Subjects
Surgery, RD1-811
Abstract

Summary:. Virtual surgical planning (VSP) with computer-aided design and computer-aided modeling (CAD/CAM) enables the opportunity to provide personalized medicine in complex head and neck reconstruction. This innovative technology allows ablative and reconstructive surgeons to virtually create and manipulate three-dimensional anatomic models to plan both the resection and reconstruction of complicated maxillofacial defects. Studies demonstrate improvements in preoperative planning, operative efficiency and accuracy, and postoperative outcomes. VSP facilitates immediate dental implantation in selected patients, which can improve the likelihood of achieving dental restoration. This article outlines strategies for technique optimization as well as the applications, advantages and disadvantages of VSP in complex oncologic head and neck reconstruction.

Published
2021
Full Text
View/download PDF

47. 117. Textured Versus Smooth Tissue Expanders - A Comparison of Complications in 3526 Breast Reconstructions

Author

Robyn Nicole Rubenstein, MD, Evan Matros, MD, MMSc, MPH, Joshua Vorstenbosch, MD, PhD, Kathryn Haglich, BS, MS, Jacqueline J. Chu, BA, Cayla McKernan, MS, PA-C, Tajah Bell, BS, Richard T. Poulton, BS, De’von McGriff, MBA, MHA, Carrie S. Stern, MD, Michelle Coriddi, MD, Peter G. Cordeiro, MD, Colleen M. McCarthy, MD, MS, Joseph J. Disa, MD, Babak J. Mehrara, MD, and Jonas A. Nelson, MD, MPH

Subjects
Surgery, RD1-811
Published
2022
Full Text
View/download PDF

48. QS7. Acellular Dermal Matrix and Prepectoral Two-stage Breast Reconstruction: A Cohort Analysis of Alloderm, FlexHD and SurgiMend

Author

Jacqueline J. Chu, BA, Kathryn Haglich, MS, Robyn Rubenstein, MD, Cayla McKernan, MS, PA-C, Tajah Bell, MS, Richard T. Poulton, BS, Carrie S. Stern, MD, Joseph J. Disa, MD, Michelle Coriddi, MD, Joseph Dayan, MD, Robert J. Allen, Jr., MD, Babak J. Mehrara, MD, Evan Matros, MD, and Jonas A. Nelson, MD

Subjects
Surgery, RD1-811
Published
2022
Full Text
View/download PDF

50. P39. TEXTURED VERSUS SMOOTH TISSUE EXPANDERS - A COMPARISON OF COMPLICATIONS IN 3526 BREAST RECONSTRUCTIONS

Author

Jonas A. Nelson, MD, MPH, Robyn N. Rubenstein, MD, Joshua Vorstenbosch, MD, PhD, Kathryn Haglich, BS, MS, Jacqueline J. Chu, BA, Cayla McKernan, MS, PA-C, Tajah Bell, BS, Richard T. Poulton, BS, De’von McGriff, BS, Carrie S. Stern, MD, Michelle Coriddi, MD, Peter G. Cordeiro, MD, Colleen M. McCarthy, MD, MS, Joseph J. Disa, MD, Babak Mehrara, MD, and Evan Matros, MD, MMSc., MPH

Subjects
Surgery, RD1-811
Published
2022
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results