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  1. Article ; Online: A 3-Dimensional Evaluation of the Effects of Unilateral Vertical Mandibular Distraction Osteogenesis on Airway Volume Among Patients With Hemifacial Microsomia.

    Pak, Sarah / Bous, Rany M / Acosta Lenis, Claudia / Kumar, Anand R / Valiathan, Manish

    The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    2023  , Page(s) 10556656231158984

    Abstract: Objective: The aim of this study was to evaluate the volumetric airway changes using three-dimensional images following unilateral vertical mandibular distraction osteogenesis (uVMD) among patients with hemifacial microsomia (HFM).: Design: This ... ...

    Abstract Objective: The aim of this study was to evaluate the volumetric airway changes using three-dimensional images following unilateral vertical mandibular distraction osteogenesis (uVMD) among patients with hemifacial microsomia (HFM).
    Design: This retrospective study analyzed cone-beam computed tomography (CBCT) scans of patients with HFM at three different timepoints; pretreatment (T0), posttreatment (T1), and at least 6 months post-distraction (T2). The individuals underwent uVMD between December 2018-Januaray 2021. The nasopharyngeal (NP) volume, oropharyngeal (OP) volume, and the area of maximum constriction (MC) were measured. Wilcoxon signed-rank test was used to compare the airway volumes between T0-T1, T1-T2, and T0-T2.
    Results: Five patients met the inclusion criteria (mean age = 10.4 years; 1 female, 4 males). Intraclass correlation analysis showed excellent interrater reliability (
    Conclusion: Surgical intervention with uVMD may significantly increase the OP airway volume and the total airway volume among patients with HFM immediately after distraction. However, the statistical significance diminished after six months post-consolidation, but the mean percent change may remain of clinical significance. The NP volume did not seem to show significant changes in response to uVMD.
    Language English
    Publishing date 2023-03-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1069409-2
    ISSN 1545-1569 ; 0009-8701 ; 1055-6656
    ISSN (online) 1545-1569
    ISSN 0009-8701 ; 1055-6656
    DOI 10.1177/10556656231158984
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Should we abandon the use of prophylactic PD stents to prevent post-ERCP pancreatitis?

    Kumar, Anand R

    The American journal of gastroenterology

    2014  Volume 109, Issue 8, Page(s) 1292

    MeSH term(s) Cholangiopancreatography, Endoscopic Retrograde/adverse effects ; Humans ; Indomethacin/therapeutic use ; Nitrates/therapeutic use ; Pancreatitis/prevention & control
    Chemical Substances Nitrates ; Indomethacin (XXE1CET956)
    Language English
    Publishing date 2014-08
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 390122-1
    ISSN 1572-0241 ; 0002-9270
    ISSN (online) 1572-0241
    ISSN 0002-9270
    DOI 10.1038/ajg.2014.160
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Trainee Operative Autonomy in Plastic Surgery.

    Vargas, Christina R / Long, Tobias C / Kumar, Anand R

    Annals of plastic surgery

    2020  Volume 85, Issue 5, Page(s) 553–560

    Abstract: Background: Appropriate, progressive trainee autonomy is critical for training competent plastic surgeons who are adequately prepared to enter independent practice. Evaluation and reporting of meaningful operative autonomy among trainees in plastic ... ...

    Abstract Background: Appropriate, progressive trainee autonomy is critical for training competent plastic surgeons who are adequately prepared to enter independent practice. Evaluation and reporting of meaningful operative autonomy among trainees in plastic surgery are understudied.
    Methods: Parallel survey instruments were developed using the Zwisch metric for progressive operative autonomy and distributed electronically to trainees and faculties in all accredited training programs. Trainees were queried about their operative autonomy in 17 core plastic surgery procedures, associated approach to logging cases, and perceived readiness to enter practice. Faculties provided assessment of their final-year trainees using the same metrics.
    Results: Trainees in 28 programs and faculties in 35 programs participated. Final-year trainees reported the most operative independence with breast tissue expander reconstruction and carpal tunnel release and the least with facelift and rhinoplasty. A mean of 40% of final-year trainees reached supervision only autonomy in the procedures queried; none achieved this with rhinoplasty. Faculties identified the highest final-year trainee operative autonomy with botulinum toxin injection and burn excision and grafting; the least trainee independence was reported with rhinoplasty, cleft lip repair, and facelift. Faculty perception of final-year trainee autonomy was higher than that of trainees for 82% of procedures queried.
    Conclusions: Although plastic surgery trainees endorse gradual operative autonomy overall, a majority of final-year trainees do not perceive supervision only independence in the majority of core procedures queried. Faculties perceive higher trainee operative autonomy than trainees for most procedures. Discordant approaches to case logging were identified both among trainees and between trainees and faculties. Standardization may improve both progression and assessment of operative autonomy in plastic surgery training.
    MeSH term(s) Clinical Competence ; General Surgery/education ; Humans ; Internship and Residency ; Professional Autonomy ; Surgeons ; Surgery, Plastic ; Surveys and Questionnaires
    Language English
    Publishing date 2020-02-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 423835-7
    ISSN 1536-3708 ; 0148-7043
    ISSN (online) 1536-3708
    ISSN 0148-7043
    DOI 10.1097/SAP.0000000000002210
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Endoscopic ampullectomy of a large neuroendocrine tumor using underwater EMR technique.

    Keshava, Vinay E / Henien, Samia R / Kumar, Anand R

    VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy

    2020  Volume 5, Issue 7, Page(s) 314–317

    Language English
    Publishing date 2020-04-21
    Publishing country United States
    Document type Journal Article
    ISSN 2468-4481
    ISSN (online) 2468-4481
    DOI 10.1016/j.vgie.2020.03.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Regional Anesthetic Blocks for Donor Site Pain in Burn Patients: A Meta-Analysis on Efficacy, Outcomes, and Cost.

    Grunzweig, Katherine A / Son, Ji / Kumar, Anand R

    Plastic surgery (Oakville, Ont.)

    2020  Volume 28, Issue 4, Page(s) 222–231

    Abstract: Background: Skin graft donor site pain significantly affects pain management, narcotic use, and hospital length of stay. This study is intended to evaluate the efficacy of regional anesthesia in the burn population to decrease narcotic consumption and ... ...

    Abstract Background: Skin graft donor site pain significantly affects pain management, narcotic use, and hospital length of stay. This study is intended to evaluate the efficacy of regional anesthesia in the burn population to decrease narcotic consumption and to assess the impact on hospitalization costs.
    Methods: PubMed/MEDLINE, Embase, and ScienceDirect were searched with the following inclusion criteria: comparative studies, adult populations, burn patients, autologous skin grafting, regional nerve blocks, and traditional narcotic regimens. Outcomes assessed included narcotic consumption, pain scores, and opioid side effects. Meta-analysis obtained pooled values for morphine consumption and side effects. Cost analysis was performed using published data in the literature.
    Results: Final analysis included 101 patients. Cumulative morphine consumption at 72 hours was lower for patients treated with regional anesthesia versus patient-controlled analgesia (PCA; single shot 25 ± 12 mg, continuous regional 23 ± 16 mg, control 91.5 ± 24.5 mg;
    Conclusion: Regional anesthesia at skin graft donor sites significantly decreases narcotic consumption in burn patients. Regional anesthesia is cost-effective, decreases side effects, and may result in shorter hospital stays due to improved pain management.
    Language English
    Publishing date 2020-06-10
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2869727-3
    ISSN 2292-5511 ; 2292-5503
    ISSN (online) 2292-5511
    ISSN 2292-5503
    DOI 10.1177/2292550320928562
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The Implications of a Pass/Fail United States Medical Licensing Examination Step 1 on the Integrated Plastic Surgery Match: Perspectives from a Program Director and Medical Student.

    Lesko, Robert P / Kotha, Vikas S / Kumar, Anand R / Davidson, Edward H

    Plastic and reconstructive surgery

    2021  Volume 148, Issue 1, Page(s) 169e–170e

    MeSH term(s) Educational Measurement/standards ; Humans ; Internship and Residency/legislation & jurisprudence ; Internship and Residency/organization & administration ; Internship and Residency/standards ; Licensure, Medical/standards ; Personnel Selection/standards ; Students, Medical ; Surgery, Plastic/legislation & jurisprudence ; Surgery, Plastic/standards ; United States
    Language English
    Publishing date 2021-06-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 208012-6
    ISSN 1529-4242 ; 0032-1052 ; 0096-8501
    ISSN (online) 1529-4242
    ISSN 0032-1052 ; 0096-8501
    DOI 10.1097/PRS.0000000000008029
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Amniotic Membrane Scaffolds Support Organized Muscle Regeneration in A Murine Volumetric Muscle Defect Model.

    Awad, Mohamed / Kurlander, David E / Kotha, Vikas S / Malone, Kevin / Davidson, Edward H / Kumar, Anand R

    Plastic and reconstructive surgery. Global open

    2022  Volume 10, Issue 9, Page(s) e4499

    Abstract: Current treatment for volumetric muscle loss is limited to muscle transfer or acellular collagen scaffold (ACS) therapies that are associated with donor site morbidity and nonfunctional fibrosis, respectively. The aim of this study is to assess the ... ...

    Abstract Current treatment for volumetric muscle loss is limited to muscle transfer or acellular collagen scaffold (ACS) therapies that are associated with donor site morbidity and nonfunctional fibrosis, respectively. The aim of this study is to assess the utility of amniotic membrane scaffold (AMS) for volumetric muscle loss treatment.
    Methods: Murine quadriceps defects were created and randomized to three groups (n = 5/group): untreated controls, ACS, and AMS. In vivo muscle regeneration volume was quantified by MRI and microcomputed tomography. Muscle explants were analyzed using standard histology and whole-mount immunofluorescence at 8 weeks.
    Results: The cross-sectional muscle regeneration ratio was 0.64 ± 0.3 for AMS, 0.48 ± 0.07 for ACS, and 0.4 0 ± 0.03 for controls as assessed by MRI (
    Conclusion: AMS mediated muscle healing was characterized by increased cellular infiltration and organized muscle formation when compared with controls and ACS.
    Language English
    Publishing date 2022-09-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2851682-5
    ISSN 2169-7574 ; 2169-7574
    ISSN (online) 2169-7574
    ISSN 2169-7574
    DOI 10.1097/GOX.0000000000004499
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: A Guide to Industry Payments and an Algorithm for Their Management.

    Isbester, Kelsey A / Boas, Samuel R / Wee, Corinne / Summerville, Lesley / Kumar, Anand R

    Plastic and reconstructive surgery

    2022  Volume 149, Issue 1, Page(s) 253–261

    Abstract: Background: The Open Payments database was created to increase transparency of industry payment relationships within medicine. The current literature often examines only 1 year of the database. In this study, the authors use 5 years of data to show ... ...

    Abstract Background: The Open Payments database was created to increase transparency of industry payment relationships within medicine. The current literature often examines only 1 year of the database. In this study, the authors use 5 years of data to show trends among industry payments to plastic surgeons from 2014 to 2018. In addition, the authors lay out the basics of conflict-of-interest reporting for the new plastic surgeon. Finally, the authors suggest an algorithm for the responsible management of industry relationships.
    Methods: This study analyzed nonresearch payments made to plastic surgeons from January 1, 2014, to December 31, 2018. Descriptive statistics were calculated using R Statistical Software and visualized using Tableau.
    Results: A total of 304,663 payments totaling $140,889,747 were made to 8148 plastic surgeons; 41 percent ($58.28 million) was paid to 50 plastic surgeons in the form of royalty or license payments. With royalties excluded, average and median payments were $276 and $25. The average yearly total per physician was $2028. Of the 14 payment categories, 95 percent of the total amount paid was attributable payments in one of six categories. Seven hundred thirty companies reported payments to plastic surgeons from 2014 to 2018; 15 companies (2 percent) were responsible for 80 percent ($66.34 million) of the total sum paid. Allergan was responsible for $24.45 million (29.6 percent) of this amount.
    Conclusions: Although discussions on the proper management of industry relationships continue to evolve, the data in this study illustrate the importance of managing industry relationships. The simple guidelines suggested create a basis for managing industry relationships in the career of the everyday plastic surgeon.
    MeSH term(s) Algorithms ; Centers for Medicare and Medicaid Services, U.S./statistics & numerical data ; Conflict of Interest/economics ; Databases, Factual/standards ; Databases, Factual/statistics & numerical data ; Health Care Sector/economics ; Health Care Sector/statistics & numerical data ; Humans ; Income/statistics & numerical data ; Surgeons/economics ; Surgeons/statistics & numerical data ; Surgery, Plastic/economics ; Surgery, Plastic/statistics & numerical data ; United States
    Language English
    Publishing date 2022-06-23
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 208012-6
    ISSN 1529-4242 ; 0032-1052 ; 0096-8501
    ISSN (online) 1529-4242
    ISSN 0032-1052 ; 0096-8501
    DOI 10.1097/PRS.0000000000008678
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Randomized trial of gastric and colorectal endoscopic submucosal dissection defect closure comparing a novel through-the-scope suturing system with an over-the-scope suturing system (with video).

    Agnihotri, Abhishek / Mitsuhashi, Shuji / Holmes, Ian / Kamal, Faisal / Chiang, Austin / Loren, David E / Kowalski, Thomas E / Schlachterman, Alexander / Kumar, Anand R

    Gastrointestinal endoscopy

    2023  Volume 99, Issue 2, Page(s) 237–244.e1

    Abstract: Background and aims: Mucosal closure adds time but reduces adverse events associated with endoscopic submucosal dissection (ESD). We aimed to assess the closure time (CT), technical success, and cost-effectiveness between a novel through-the-scope helix ...

    Abstract Background and aims: Mucosal closure adds time but reduces adverse events associated with endoscopic submucosal dissection (ESD). We aimed to assess the closure time (CT), technical success, and cost-effectiveness between a novel through-the-scope helix tack suture system (TTSS) and the over-the-scope suturing system (OTSS).
    Methods: In this single-center, prospective, randomized trial, all patients undergoing ESD with anticipated closure were randomized 1:1 to TTSS (study group) or OTSS (control group). Primary outcomes were CT and overall CT (OCT; CT + setup time). Secondary outcomes were rates of technical success, adverse events, and cost-effectiveness.
    Results: Forty patients were randomized to OTSS (n = 20) or TTSS (n = 20). OTSS and TTSS groups were similar with respect to age, gender, proportion of colorectal polyps, proximal colon polyps, and mean size of the resected specimen (40.9 mm vs 40.4 mm). The mean CT was 18.4 minutes for OTSS and 23.3 minutes for TTSS (P = .36). The mean OCT was 32 minutes for OTSS and 39.5 minutes for TTSS (P = .36). Closure with a primary device was successful in 17 cases (85%) with OTSS and 18 cases (90%) with TTSS (P = .63). No closure-related intraprocedural adverse events or delayed perforations were noted. Mean cost of closure was significantly lower in the TTSS group for lesions <35 mm (P = .008).
    Conclusions: TTSS was not found to be superior to OTSS with respect to CT and technical and clinical success for closure of gastric and colorectal ESD defects. TTSS is more cost-effective for closure of lesions <35 mm. (Clinical trial registration number: NCT04925271.).
    MeSH term(s) Humans ; Endoscopic Mucosal Resection/methods ; Prospective Studies ; Stomach ; Colorectal Neoplasms/surgery ; Colorectal Neoplasms/etiology ; Sutures ; Treatment Outcome ; Retrospective Studies
    Language English
    Publishing date 2023-08-01
    Publishing country United States
    Document type Randomized Controlled Trial ; Video-Audio Media ; Journal Article
    ZDB-ID 391583-9
    ISSN 1097-6779 ; 0016-5107
    ISSN (online) 1097-6779
    ISSN 0016-5107
    DOI 10.1016/j.gie.2023.07.046
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Craniofacial Skills: A 2-Site Validation of Assessments to Aid Plastic Surgery Resident Milestone Achievement in Technical Skills and Instrument Knowledge.

    Grunzweig, Katherine A / Son, Ji / Kumar, Anand R

    The Journal of craniofacial surgery

    2019  Volume 30, Issue 6, Page(s) 1678–1682

    Abstract: Background: Plastic surgery evaluates residents on milestones. This study defines a model of education including pre and post-test assessments paired with didactics intended for evaluating residents in the unique technical skills of craniofacial surgery. ...

    Abstract Background: Plastic surgery evaluates residents on milestones. This study defines a model of education including pre and post-test assessments paired with didactics intended for evaluating residents in the unique technical skills of craniofacial surgery.
    Methods: At the first institution, instrument identification, and time/accuracy of burr hole placement, craniotomy, and plating on Saw Bones Craniofacial Models were tested before and after a 7.5-hour craniofacial orthognathic surgery workshop. At the second institution, this was refined, removing plating, eliminating assessment of timing, and shortening didactics to standard osteotomies, instrument names, and common surgical approaches. The study population consisted of junior, mid-level, and senior residents on 2 different University craniofacial services.
    Results: Participant performance was analyzed by level of training: junior, midlevel and senior resident. In the first iteration, resident times improved significantly for all 4 tasks (P = 0.008, 0.035, 0.035, 0.016). Resident accuracy improved significantly for instrument naming (P = 0.003). Except for instrument naming, resident year did not impact improvement (timing: P = 0.062, 0.310, 0.125, 0.334; accuracy: P = 0.029, 0.664, 0.717, 0.306). In the second iteration, resident accuracy improved for all tasks (instrument naming P = 0.00002, burr holes P = 0.0031, craniotomy P = 0.08). There was no difference in rate of improvement between resident cohorts.
    Conclusion: The task-based assessment with resident education on basic craniofacial surgery skills, standard osteotomies, and instrument names directed resident learning and assessed resident knowledge. With the removal of time as a metric, all tasks improved in accuracy. The craniofacial skills task-assessment successfully evaluated milestone attainment in a reproducible model.
    MeSH term(s) Education, Medical, Graduate ; Face/surgery ; Humans ; Internship and Residency ; Orthopedic Procedures ; Skull/surgery ; Surgery, Plastic/education
    Language English
    Publishing date 2019-03-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1159501-2
    ISSN 1536-3732 ; 1049-2275
    ISSN (online) 1536-3732
    ISSN 1049-2275
    DOI 10.1097/SCS.0000000000005412
    Database MEDical Literature Analysis and Retrieval System OnLINE

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