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Steven T Lanier, Kevin C Lewis, Mark C Kendall, Brittany L Vieira, Gildasio De Oliveira, Anthony Nader, John Y S Kim, Mohammed Alghoul
BACKGROUND: The authors' study represents the first level I evidence to assess whether intraoperative nerve blocks improve the quality of recovery from immediate tissue expander/implant breast reconstruction. METHODS: A prospective, randomized, double-blinded, placebo-controlled clinical trial was conducted in which patients undergoing immediate tissue expander/implant breast reconstruction were randomized to either (1) intraoperative intercostal and pectoral nerve blocks with 0...
March 2018: Plastic and Reconstructive Surgery
Mohammed Alghoul
Blepharoplasty is one of the most commonly performed cosmetic surgical procedures. To date it remains the most powerful method of periorbital rejuvenation when compared to other non-surgical modalities, especially in the aging face. Despite that, the procedure has its shortcomings that include a steep learning curve, prolonged recovery and potential for appearance and life-changing complications. Attaining successful outcomes rely on solid understanding of facial topography, patient and technique selection, and, when appropriate, following a conservative approach...
February 21, 2018: Aesthetic Surgery Journal
Sergey Y Turin, Robert L Walton, Gregory A Dumanian, John B Hijjawi, John A LoGiudice, Mohammed Alghoul
BACKGROUND:  Postoperative microvascular arterial vasospasm is a rare clinical entity. There are no published management algorithms and also the pathophysiology of this phenomenon has not been elucidated. METHODS:  An email survey of American Society for Reconstructive Microsurgery (ASRM) and World Society for Reconstructive Microsurgery (WSRM) members regarding their experiences with postoperative arterial vasospasm was conducted, returning 116 responses. A comprehensive literature search was conducted regarding the current body of knowledge on this entity...
May 2018: Journal of Reconstructive Microsurgery
Cecil S Qiu, Sumanas W Jordan, Robert G Dorfman, Michael M Vu, Mohammed S Alghoul, John Y S Kim
BACKGROUND:  Increased surgical duration can impact patient outcomes and operative efficiency metrics. In particular, there are studies suggesting that increased surgical duration can increase the risk of venous thromboembolism (VTE). One of the longer duration plastic surgery procedures commonly performed is microsurgical breast reconstruction. With the widening indications for multiple and "stacked" free flaps to reconstruct breasts, we endeavored to assess (1) the relationship between duration of microsurgical breast reconstruction and VTE; and (2) determine if a threshold operative time exists that connotes VTE higher risk...
January 2018: Journal of Reconstructive Microsurgery
Andrew R Pines, Mohammed S Alghoul, Youssef J Hamade, Mithun G Sattur, Rami James N Aoun, Tariq K Halasa, Chandan Krishna, Samer G Zammar, Najib E El Tecle, Tarek Y El Ahmadieh, Salah G Aoun, Richard W Byrne, James S Harrop, Brian T Ragel, Daniel K Resnick, Russell R Lonser, Nathan R Selden, Bernard R Bendok
BACKGROUND: The potential for simulation-based learning in neurosurgical training has led the Congress of Neurosurgical Surgeons to develop a series of simulation modules. The Northwestern Objective Microanastomosis Assessment Tool (NOMAT) was created as the corresponding assessment tool for the Congress of Neurosurgical Surgeons Microanastomosis Module. The face and construct validity of the NOMAT have been previously established. OBJECTIVE: To further validate the NOMAT by determining its interrater reliability (IRR) between raters of varying levels of microsurgical expertise...
February 1, 2017: Operative Neurosurgery (Hagerstown, Md.)
Mohammed Alghoul
No abstract text is available yet for this article.
June 1, 2017: Aesthetic Surgery Journal
Eugene Park, Kevin Lewis, Mohammed S Alghoul
Background: Lower eyelid retraction is a difficult problem to treat, but it is a prevalent condition and a common complication of blepharoplasty. The use of spacer grafts to increase eyelid height and improve symptoms has been described for a long time, but the optimal choice of spacer graft material is unknown. Objectives: The authors reviewed the currently available evidence to determine the best available spacer graft material in terms of efficacy and complications...
July 1, 2017: Aesthetic Surgery Journal
Ryan Sacotte, Niel Fine, John Y Kim, Mohammed Alghoul, Kevin Bethke, Nora Hansen, Seema A Khan, Swati Kulkarni, Jonathan Strauss, John P Hayes, Eric D Donnelly
PURPOSE: The purpose of this article is to report the long-term rate and timing of complications associated with postmastectomy radiation therapy (PMRT) following immediate breast reconstruction in a large patient population. METHODS AND MATERIALS: We identified and reviewed the charts of all patients with stages I through IIIC breast cancer who underwent mastectomy with immediate reconstruction followed by subsequent radiation therapy between November 1997 and May 2010...
March 2017: Practical Radiation Oncology
Zahra M Alghoul, Phillip B Ogden, John G Dorsey
The polarity of subcritical water was studied solvatochromically with betaine dye (33) across a temperature range of 30°C-180°C and a pressure range of 13.8bar (200psi) to 124bar (1800psi). It was observed that temperature has a greater effect than pressure on the polarity of subcritical water. In addition, subcritical water was compared with traditional hydro-organic mobile phases and the polarity of subcritical water was found to be comparable to a range of 30%-50% methanol/water and a range of 20%-30% acetonitrile/water mobile phases...
February 24, 2017: Journal of Chromatography. A
Chad A Purnell, Kevin C Lewis, Lauren M Mioton, Philip J Hanwright, Robert D Galiano, Gregory A Dumanian, Mohammed S Alghoul
BACKGROUND: Free and pedicled medial and lateral thigh-based flaps are common reconstructive procedures. However, there have been no comparative studies of morbidity between medial and lateral donor sites. METHODS: We conducted an Enterprise Data Warehouse-based review of all the senior authors' (R.D.G., G.A.D., and M.S.A.) thigh-based free and pedicled flaps. Patient demographic data, donor-site complications, drain duration, and number of postoperative visits were collected and compared...
November 2016: Plastic and Reconstructive Surgery. Global Open
Elbert E Vaca, Chad A Purnell, Arun K Gosain, Mohammed S Alghoul
BACKGROUND: Temporal hollowing is a common complication following surgical dissection in the temporal region. Our objectives were to: (1) review and clarify the temporal soft tissue relationships - supplemented by cadaveric dissection - to better understand surgical approach variations and elucidate potential etiologies of postoperative hollowing; (2) identify if there is any evidence to support a surgical approach that prevents hollowing through a systematic review. METHODS: Cadaveric dissection was performed on six hemi-heads...
March 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Mohammed Alghoul
No abstract text is available yet for this article.
December 2016: Plastic and Reconstructive Surgery
R Sacotte, N Fine, J Y Kim, M Alghoul, K Bethke, N Hansen, S A Khan, S Kulkarni, J B Strauss, J P Hayes, E D Donnelly
No abstract text is available yet for this article.
October 1, 2016: International Journal of Radiation Oncology, Biology, Physics
Ian Chow, Mohammed S Alghoul, Nima Khavanin, Philip J Hanwright, Kristen E Mayer, Keith M Hume, Robert X Murphy, Karol A Gutowski, John Y S Kim
No abstract text is available yet for this article.
April 2016: Plastic and Reconstructive Surgery
Ian Chow, Mohammed S Alghoul, Nima Khavanin, Philip J Hanwright, Kristen E Mayer, Keith M Hume, Robert X Murphy, Karol A Gutowski, John Y S Kim
BACKGROUND: No concrete data exist to support a specific volume at which liposuction becomes unsafe; surgeons rely on their own estimates, professional organization advisories, or institutional or government-imposed restrictions. This study represents the first attempt to quantify the comprehensive risk associated with varying liposuction volumes and its interaction with body mass index. METHODS: Suction-assisted lipectomies were identified from the Tracking Operations and Outcomes for Plastic Surgeons database...
September 2015: Plastic and Reconstructive Surgery
Aiman Roslizar, M A Alghoul, B Bakhtyar, Nilofar Asim, K Sopian
Buildings are among the largest consumers of energy. Part of the energy is wasted due to the habits of users and equipment conditions. A solution to this problem is efficient energy usage. To this end, an energy audit can be conducted to assess the energy efficiency. This study aims to analyze the energy usage of a primary school and identify the potential energy reductions and cost savings. A preliminary audit was conducted, and several energy conservation measures were proposed. The energy conservation measures, with reference to the MS1525:2007 standard, were modelled to identify the potential energy reduction and cost savings...
2014: TheScientificWorldJournal
Sameer M Kapadia, Madeleine J Gust, Mohammed S Alghoul, Gregory A Dumanian
No abstract text is available yet for this article.
April 2013: Plastic and Reconstructive Surgery. Global Open
Lauren M Mioton, Mohammed S Alghoul, John Y S Kim
BACKGROUND: Despite the increasing scrutiny of surgical procedures, outpatient cosmetic surgery has an established record of safety and efficacy. A key measure in assessing surgical outcomes is the examination of readmission rates. However, there is a paucity of data on unplanned readmission following cosmetic surgery procedures. OBJECTIVES: The authors studied readmission rates for outpatient cosmetic surgery and compared the data with readmission rates for other surgical procedures...
February 2014: Aesthetic Surgery Journal
Mohammed Alghoul, Salvatore J Pacella, W Thomas McClellan, Mark A Codner
Reconstruction of the eyelids after excision of skin cancer can be challenging. Knowledge of surgical eyelid anatomy and appropriate preoperative planning are critical in order to perform eyelid reconstruction and minimize complications and the need for reoperation. The fundamental principle for full-thickness eyelid reconstruction is based on reconstructing the subunits of the eyelid, including the anterior and posterior lamellae as well as the tarsoligamentous sling.
August 2013: Plastic and Reconstructive Surgery
Mohammed Alghoul, Mark A Codner
The retaining ligaments of the face are important in understanding concepts of facial aging and rejuvenation. They are located in constant anatomic locations where they separate facial spaces and compartments. Their superficial extensions form subcutaneous septa that separate facial fat compartments. Their main significance relates to their surgical release in order to achieve the desired aesthetic outcome. Furthermore, they have a sentinel role in their anatomic relationship to facial nerve branches. When performing facial aesthetic surgery, plastic surgeons should select a plane of dissection, release the appropriate ligaments depending on the desired aesthetic goals, and avoid nerve injury by using the ligaments as anatomic landmarks...
August 1, 2013: Aesthetic Surgery Journal
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