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  1. Article ; Online: Nipple Sensation Loss after Oncoplastic Breast Reduction.

    Dagi, Alexander F / Marano, Andrew A / Rohde, Christine H

    Plastic and reconstructive surgery

    2023  Volume 152, Issue 4, Page(s) 766e–767e

    MeSH term(s) Humans ; Nipples/surgery ; Sensation
    Language English
    Publishing date 2023-09-28
    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.0000000000010672
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  2. Article ; Online: Masculinizing Chest Reconstruction in Adolescents and Young Adults: An Analysis of National Surgical Quality Improvement Program Data.

    Diaddigo, Sarah E / Asadourian, Paul A / Lavalley, Myles N / Marano, Andrew A / Rohde, Christine H

    Annals of plastic surgery

    2023  Volume 92, Issue 2, Page(s) 253–257

    Abstract: Background: Masculinizing chest reconstruction (MCR) has been shown to improve quality of life and gender dysphoria in transmasculine adult patients. As nationwide access to gender-affirming care expands, more adolescents are seeking MCR. However, there ...

    Abstract Background: Masculinizing chest reconstruction (MCR) has been shown to improve quality of life and gender dysphoria in transmasculine adult patients. As nationwide access to gender-affirming care expands, more adolescents are seeking MCR. However, there is a paucity of literature examining patient characteristics, safety, and disparities among this population.
    Methods: Cases of MCR were selected from the pediatric and adult American College of Surgeons and National Surgical Quality Improvement Program. Adolescent (18 years and older) and young adult (aged 19-25 years) transgender patients were analyzed for differences in demographics, comorbidities, surgical characteristics, and postoperative complications.
    Results: A total of 1287 cases were identified, with an adolescent cohort of 189 patients. The proportion of White patients to other races was greater among adolescents than young adults (91.2% vs 82.4%, P = 0.007). Of adolescents and young adults, 6.0% and 11.1% identified as Hispanic/Latino, respectively (P = 0.059). Rates of all-cause postoperative complications were similar between adolescents (4.2%) and young adults (4.1%). Multivariate binary logistic regression showed that Black or African American patients experienced more all-cause postoperative complications than other races after controlling for American Society of Anesthesiologists classification, age group, and body mass index (odds ratio, 2.8; 95% confidence interval, 1.3-5.9; P = 0.008).
    Conclusions: Masculinizing chest reconstruction is equally safe for transmasculine adolescent and young adult patients. However, our data point to racial disparities in access to care and postoperative outcomes. An intersectional approach is needed to better understand the unique health care needs and barriers to care of minority transgender youth.
    MeSH term(s) Adolescent ; Humans ; Young Adult ; Black or African American ; Body Mass Index ; Postoperative Complications/epidemiology ; Quality Improvement ; Quality of Life ; Plastic Surgery Procedures ; Gender-Affirming Care ; Healthcare Disparities ; Transgender Persons ; White
    Language English
    Publishing date 2023-12-27
    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.0000000000003735
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  3. Article ; Online: Gender-Affirming Surgeries and Improved Psychosocial Health Outcomes.

    Marano, Andrew A / Louis, Matthew R / Coon, Devin

    JAMA surgery

    2021  Volume 156, Issue 7, Page(s) 685–687

    MeSH term(s) Humans ; Outcome Assessment, Health Care ; Sex Reassignment Surgery ; Transgender Persons
    Language English
    Publishing date 2021-04-28
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2701841-6
    ISSN 2168-6262 ; 2168-6254
    ISSN (online) 2168-6262
    ISSN 2168-6254
    DOI 10.1001/jamasurg.2021.0953
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  4. Article: Resolution of Systemic Rheumatologic Symptoms following Breast Implant Removal.

    Marano, Andrew A / Cohen, Michael H / Ascherman, Jeffrey A

    Plastic and reconstructive surgery. Global open

    2020  Volume 8, Issue 5, Page(s) e2828

    Abstract: Reports of women with breast implants who suffer a wide variety of systemic symptoms have become more and more prevalent over the past several years. This entity has become known as breast implant illness in conventional news and social media outlets but ...

    Abstract Reports of women with breast implants who suffer a wide variety of systemic symptoms have become more and more prevalent over the past several years. This entity has become known as breast implant illness in conventional news and social media outlets but has vague and nonspecific diagnostic criteria. As a result, the phenomenon is difficult to both identify and treat. The reported patient is a 76-year-old woman who underwent breast reconstruction with a latissimus dorsi flap and textured silicone implant 20 years before the onset of symptoms, which included debilitating joint pain. She had previously maintained an active lifestyle, but symptoms progressed to a point where she was unable to perform basic tasks. A full rheumatologic and connective tissue workup was done, but other than elevated markers of inflammation, it showed no diagnosable disease entity. After a lengthy discussion with her primary care physician and plastic surgeon, she decided to undergo removal of the implant. Following explantation, her symptoms quickly improved, and within several weeks, she was able to return to her active lifestyle.
    Language English
    Publishing date 2020-05-26
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2851682-5
    ISSN 2169-7574 ; 2169-7574
    ISSN (online) 2169-7574
    ISSN 2169-7574
    DOI 10.1097/GOX.0000000000002828
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  5. Article ; Online: Commentary on: A Three-Step Technique for Optimal Nipple Position in Transgender Chest Masculinization.

    Marano, Andrew A / Tan, Benny / Coon, Devin

    Aesthetic surgery journal

    2020  Volume 40, Issue 11, Page(s) NP626–NP627

    MeSH term(s) Humans ; Mammaplasty ; Mastectomy, Subcutaneous ; Nipples/surgery ; Transgender Persons ; Transsexualism/surgery
    Language English
    Publishing date 2020-08-07
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 2087022-X
    ISSN 1527-330X ; 1090-820X ; 1084-0761
    ISSN (online) 1527-330X
    ISSN 1090-820X ; 1084-0761
    DOI 10.1093/asj/sjaa194
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    Zs.MO 570: Show issues

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  6. Article ; Online: Reconstruction of Through-and-Through Mandibular Defects with the Fibula Osteocutaneous and Lower Lateral Leg Perforator Free Flaps.

    Shahzad, Farooq / Kiwanuka, Elizabeth / Marano, Andrew / Boyle, Jay / Matros, Evan

    Plastic and reconstructive surgery

    2021  Volume 149, Issue 1, Page(s) 157e–158e

    MeSH term(s) Carcinoma, Squamous Cell/pathology ; Carcinoma, Squamous Cell/surgery ; Fibula/transplantation ; Free Tissue Flaps/transplantation ; Humans ; Leg/blood supply ; Leg/surgery ; Male ; Mandible/pathology ; Mandible/surgery ; Mandibular Neoplasms/pathology ; Mandibular Neoplasms/surgery ; Perforator Flap/transplantation ; Surgical Wound/etiology ; Surgical Wound/surgery ; Treatment Outcome
    Language English
    Publishing date 2021-11-22
    Publishing country United States
    Document type Case Reports ; 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.0000000000008620
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  7. Article ; Online: Patients and Procedures of Facial Gender Confirmation Surgery: A NSQIP Study.

    Murphy, Alexander I / Asadourian, Paul A / Marano, Andrew A / Rohde, Christine H

    The Journal of craniofacial surgery

    2021  Volume 33, Issue 1, Page(s) 298–302

    Abstract: Abstract: Various recent developments, including legislation in 2014 banning healthcare discrimination against gender minorities, have contributed to expanding insurance coverage for gender-affirming care, which includes facial gender confirmation ... ...

    Abstract Abstract: Various recent developments, including legislation in 2014 banning healthcare discrimination against gender minorities, have contributed to expanding insurance coverage for gender-affirming care, which includes facial gender confirmation surgery (FGCS). Increasing evidence suggests FGCS improves quality-of-life outcomes, but literature evaluating FGCS patient demographics, surgical risk factors, procedures, and complications is limited. Therefore, the authors conducted a study of a national surgical database from 2005 to 2019 attempting to fill in these literature gaps. Statistics were used to assess temporal trends after 2014. A total of 203 FGCS cases were identified, with the earliest occurring in 2013. Case volume increased annually from 2015-2019. The average patient age was 34.0 years and racial demographics largely mirrored national estimates for the transgender/non-binary population. Obesity (20.7%) and hypertension (3.9%) were the only patient co-morbidities, although a relatively high proportion were underweight (5.4%). The majority of cases were outpatient procedures (66.5%) conducted by either plastic surgery (38.9%) or otolaryngology (61.1%). Comparing FGCSs by anatomic site, the proportion of tracheal procedures decreased between 2015-17 and 2018-19 (25.6% vs. 10.7%, P = 0.0002) whereas the proportion of brow/forehead reconstructions increased (32.6% versus 63.1%, P = 0.0005). These changes coincided with an increase in mean operative time (168.6 minutes versus 260.0, P = 0.0002). Complications were rare (3.9%), and the most common was surgical site infection (3.4%), a previously unreported outcome in the FGCS literature. Overall, FGCS patients are mostly young healthy individuals from diverse racial/ethnic backgrounds, and they have few surgical complications. The increasing volume and complexity of FGCSs may be a result of expanding insurance coverage for previously unaffordable procedures.
    MeSH term(s) Adult ; Face/surgery ; Humans ; Postoperative Complications/epidemiology ; Sex Reassignment Surgery ; Transgender Persons ; Transsexualism
    Language English
    Publishing date 2021-09-21
    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.0000000000008180
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  8. Article ; Online: Comparing Outcomes after Oncoplastic Breast Reduction and Breast Reduction for Benign Macromastia.

    Marano, Andrew A / Grover, Karan / Peysakhovich, Anya / Lin, Alexandra J / Castillo, Wendy / Rohde, Christine H

    Plastic and reconstructive surgery

    2022  Volume 149, Issue 3, Page(s) 541–548

    Abstract: Background: Oncoplastic breast reconstruction improves cosmetic outcomes when compared to standard breast conservation therapy alone. The authors studied whether tailoring a breast reduction to a cancer resection affects complication rates by comparing ( ...

    Abstract Background: Oncoplastic breast reconstruction improves cosmetic outcomes when compared to standard breast conservation therapy alone. The authors studied whether tailoring a breast reduction to a cancer resection affects complication rates by comparing (1) outcomes between oncoplastic and benign macromastia patients and (2) complication rates between the cancer side and the symmetrizing side of an oncoplastic reduction.
    Methods: A retrospective chart review was performed on female patients who underwent either oncoplastic or benign breast reduction over 9 years by a single surgeon. Patient demographics, intraoperative data, and postoperative outcomes were gathered from the electronic medical record. Chi-square and t tests were performed when appropriate to determine significance.
    Results: Of the 211 patients included in the study, 62 (29.4 percent) underwent oncoplastic breast reduction and 149 (70.6 percent) underwent breast reduction for benign macromastia. Total resection weight was greater in the benign group (p = 0.00). There was a higher rate of loss of nipple sensation in the oncoplastic group (p = 0.005) but no differences in any other complication. There was a higher complication rate in the oncologic breast when compared to the symmetrizing breast within the oncoplastic cohort (p = 0.039), but no differences in the rates of individual complications.
    Conclusions: Although the loss of nipple sensation was increased in patients undergoing oncoplastic breast reduction, all other outcomes were not significantly different between the two groups. The authors' findings indicate that oncoplastic breast reduction can be performed with a safety profile similar to that of a standard breast reduction.
    Clinical question/level of evidence: Therapeutic, III.
    MeSH term(s) Adolescent ; Adult ; Aged ; Breast/abnormalities ; Breast/surgery ; Breast Neoplasms/surgery ; Female ; Humans ; Hypertrophy/surgery ; Mammaplasty/methods ; Mastectomy, Segmental/methods ; Middle Aged ; Postoperative Complications ; Retrospective Studies ; Young Adult
    Language English
    Publishing date 2022-01-10
    Publishing country United States
    Document type Comparative Study ; 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.0000000000008822
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  9. Article ; Online: And Then There Was One: 2021 to 2022 COVID-19 Single Away Rotation Policy's Impact on the Geography of the Integrated Plastic Surgery Match.

    Asadourian, Paul A / Murphy, Alexander I / Diaddigo, Sarah E / LaValley, Myles N / Marano, Andrew A / Rohde, Christine H / Wu, June K

    Plastic and reconstructive surgery

    2023  Volume 151, Issue 6, Page(s) 1057e–1058e

    MeSH term(s) Humans ; Surgery, Plastic/education ; Rotation ; COVID-19/epidemiology ; COVID-19/prevention & control ; Health Policy ; Internship and Residency ; Geography
    Language English
    Publishing date 2023-05-24
    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.0000000000010178
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  10. Article ; Online: Androgen therapy worsens scar formation in masculinizing mastectomy.

    Mroueh, Vanessa / Reiche, Erik / Mroueh, Jessica / Keller, Patrick R / Marano, Andrew / Suresh, Visakha / Schuster, Calvin / Soares, Vance / Coon, Devin

    The British journal of surgery

    2023  Volume 110, Issue 11, Page(s) 1422–1424

    MeSH term(s) Humans ; Female ; Mastectomy ; Cicatrix ; Androgens/adverse effects ; Breast Neoplasms/drug therapy ; Breast Neoplasms/surgery ; Mammaplasty
    Chemical Substances Androgens
    Language English
    Publishing date 2023-06-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 2985-3
    ISSN 1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
    ISSN (online) 1365-2168
    ISSN 0263-1202 ; 0007-1323 ; 1355-7688
    DOI 10.1093/bjs/znad148
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