Laura C. Nuzzi
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View article: Impact of Insurance Type on Access to Pediatric Surgical Care
Impact of Insurance Type on Access to Pediatric Surgical Care Open
Background: This study aimed to measure the impact of insurance type on access to pediatric surgical care, clinical and surgical scheduling decisions, provider-driven cancelations, and missed care opportunities (MCOs). We hypothesize that …
View article: Effects of Sociodemographic and Child Opportunity Index on Pediatric Plastic and Oral and Maxillofacial Surgical Volume Trends in the COVID-19 Pandemic
Effects of Sociodemographic and Child Opportunity Index on Pediatric Plastic and Oral and Maxillofacial Surgical Volume Trends in the COVID-19 Pandemic Open
Background: The coronavirus disease 2019 (COVID-19) pandemic caused disruptions to pediatric surgical care. Although surgical capacity has returned to the prepandemic state, barriers to surgical access may still exist for children who are …
View article: The Impact of Tuberous Breast on Adolescents: A Cross-sectional Study
The Impact of Tuberous Breast on Adolescents: A Cross-sectional Study Open
Background: Tuberous breast deformity is a nondiagnostic, descriptive term for a congenital breast difference that becomes apparent at puberty. Although the negative physical and psychosocial effects of macromastia and breast asymmetry are…
View article: The Impact of the Schnur Sliding Scale on Adolescents: A Retrospective Cohort Study
The Impact of the Schnur Sliding Scale on Adolescents: A Retrospective Cohort Study Open
The Schnur sliding scale (SSS) is used by many third-party payors to classify reduction mammaplasties as either cosmetic (below the SSS) or reconstructive (above the SSS). Although the SSS was developed using an adult cohort, it is applied…
View article: Predictors of Outcomes in 900 Alveolar Bone Grafts
Predictors of Outcomes in 900 Alveolar Bone Grafts Open
Background: Significant discrepancies exist in the reported variables influencing alveolar bone graft outcomes. The purpose of this study was to evaluate graft success and identify outcome predictors in a large patient cohort using an obje…
View article: Validation of the Short-Form 36 for Adolescents Undergoing Reduction Mammaplasty
Validation of the Short-Form 36 for Adolescents Undergoing Reduction Mammaplasty Open
Background: Health-related quality of life improvements after reduction mammaplasty have been reported by patients. Although instruments exist for adults, a validated outcomes survey is not available for adolescents. This study aims to val…
View article: SP14. Utilizing the Mother Infant Lactation Questionnaire to Assess Breastfeeding Success after Benign Breast Surgery
SP14. Utilizing the Mother Infant Lactation Questionnaire to Assess Breastfeeding Success after Benign Breast Surgery Open
PURPOSE: Little is known regarding the impact of breast surgery on future breastfeeding and lactation performance, and as such, surgeons may be reluctant to operate on young women. This novel pilot study aims to explore the impact of benig…
View article: D89. Utilizing the Mother Infant Lactation Questionnaire to Assess Breastfeeding Success after Benign Breast Surgery
D89. Utilizing the Mother Infant Lactation Questionnaire to Assess Breastfeeding Success after Benign Breast Surgery Open
PURPOSE: Little is known regarding the impact of breast surgery on future breastfeeding and lactation performance, and as such, surgeons may be reluctant to operate on young women. This novel pilot study aims to explore the impact of benig…
View article: Mental Health Conditions and Health-related Quality of Life Changes after Reduction Mammaplasty in Younger Patients
Mental Health Conditions and Health-related Quality of Life Changes after Reduction Mammaplasty in Younger Patients Open
Background: Reduction mammaplasty is increasingly common in younger patients with macromastia. Unfortunately, a recent surge in mental health disorders has been documented in this population. It is unknown how mental health disorders affec…
View article: Trends in Outcomes and Variation by Race and Ethnicity in Pediatric Plastic Surgery in the United States
Trends in Outcomes and Variation by Race and Ethnicity in Pediatric Plastic Surgery in the United States Open
Background: The American College of Surgeons' National Surgical Quality Improvement Project-Pediatric Data manages a multicenter dataset for monitoring outcomes in pediatric surgical care. We explored trends in outcomes in the most frequen…
View article: Body Mass Index (BMI) Impact on Anesthetic Safety among Adolescents Undergoing Bilateral Reduction Mammaplasty
Body Mass Index (BMI) Impact on Anesthetic Safety among Adolescents Undergoing Bilateral Reduction Mammaplasty Open
Introduction: Obesity is common in adolescents with macromastia seeking surgery, prompting concerns over anesthesia-related complications due to obesity. This may lead to weight-based surgical policies, despite limited research. This study…
View article: Characterization of coordinated growth in macrodactyly caused by somatic mosaic activating mutations in<i>PIK3CA</i>
Characterization of coordinated growth in macrodactyly caused by somatic mosaic activating mutations in<i>PIK3CA</i> Open
Localized somatic overgrowth disorders that occur during development can be debilitating, and most often require surgical intervention. Although underlying genetic changes associated with overgrowth have been identified in the majority of …
View article: Effectiveness of Preoperative Symptom Screening in Identifying Pediatric SARS-CoV-2 Infections: A Retrospective Cohort Analysis
Effectiveness of Preoperative Symptom Screening in Identifying Pediatric SARS-CoV-2 Infections: A Retrospective Cohort Analysis Open
Introduction: Evidence-based protocols identifying COVID-19 cases in pediatric preoperative settings are lacking. With COVID-19 positioned to remain a threat to children, this study examines effectiveness of preoperative COVID-19 symptom s…
View article: Cost and Satisfaction Implications of Using Telehealth for Plagiocephaly
Cost and Satisfaction Implications of Using Telehealth for Plagiocephaly Open
Purpose: Patients with deformational plagiocephaly are often referred for evaluation by a plastic surgeon. During the early COVID-19 pandemic, visits were performed predominantly via telehealth. This study compares costs, satisfaction, and…
View article: Normative Values for Adolescent Quality of Life in Plastic Surgery: A Longitudinal, Cohort Study
Normative Values for Adolescent Quality of Life in Plastic Surgery: A Longitudinal, Cohort Study Open
Background: Adolescence is a challenging time, and an increasing number of young people are seeking plastic surgery. With the rise of health-related quality of life studies in plastic surgery, it is critical to understand the natural varia…
View article: Cone Beam Computed Tomographic Analysis Demonstrates a 94% Radiographic Success Rate in 783 Alveolar Bone Grafts
Cone Beam Computed Tomographic Analysis Demonstrates a 94% Radiographic Success Rate in 783 Alveolar Bone Grafts Open
This is a valid and reliable assessment tool, and when applied to a large cohort, it demonstrated a 94% graft success rate. Future studies will identify predictor variables associated with bone graft outcomes.
View article: Evaluating Surgical Decision-making in Nonsyndromic Sagittal Craniosynostosis Using a Digital 3D Model
Evaluating Surgical Decision-making in Nonsyndromic Sagittal Craniosynostosis Using a Digital 3D Model Open
Background: Surgical correction of craniosynostosis addresses potentially elevated intracranial pressure and the cranial deformity. In nonsyndromic sagittal synostosis, approximately 15% of patients have elevated intracranial pressure. The…
View article: Presentation and Referral Patterns in Pediatric Closed Hand Fractures
Presentation and Referral Patterns in Pediatric Closed Hand Fractures Open
Background Although pediatric hand fractures are common and generally have good outcomes, they remain a considerable source of anxiety for non–hand surgeons, who are less familiar with these injuries. We hypothesized that this anxiety may …
View article: Legislation, Market Size, and Access to Gender-affirming Genital Surgery in the United States
Legislation, Market Size, and Access to Gender-affirming Genital Surgery in the United States Open
Background: The value of gender-affirming genital surgery (GAGS) has been established for certain transgender or gender non-conforming patients. This study aimed to determine the availability of GAGS by state and region in the United State…
View article: The Impact of Progestin-only Contraception on Adolescents with Macromastia
The Impact of Progestin-only Contraception on Adolescents with Macromastia Open
Background: Progestin-only contraception has become increasingly popular among adolescents. However, patients, parents, and providers share concerns regarding the potential impact that progestin-only contraception may have on breast growth…
View article: Management of Residual Spitz Nevus in Surgical Specimens following Biopsy and Excision
Management of Residual Spitz Nevus in Surgical Specimens following Biopsy and Excision Open
Background: Proper management of Spitz nevi continues to be debated, with treatment ranging from observation to surgery. To better characterize the outcome of surgical procedures performed for incomplete initial excision or biopsy, we soug…
View article: Outcomes following Microvascular Mandibular Reconstruction in Pediatric Patients and Young Adults
Outcomes following Microvascular Mandibular Reconstruction in Pediatric Patients and Young Adults Open
Background: The etiology and treatment of complex mandibular defects in children differ markedly from those of adults, although treatment with free bone flaps is historical in both groups. While adult outcomes and complication rates are we…
View article: Referral Patterns of Pediatric Closed Hand Fractures: An Opportunity to Improve Care
Referral Patterns of Pediatric Closed Hand Fractures: An Opportunity to Improve Care Open
BACKGROUND: Although pediatric hand fractures are common and generally have good outcomes, they remain a considerable source of anxiety for parents and nonspecialist providers. We hypothesized that inefficiencies in referral patterns are p…
View article: Determinants of 30-Day Readmission after Infraumbilical Panniculectomy in a Nation-Wide Cohort
Determinants of 30-Day Readmission after Infraumbilical Panniculectomy in a Nation-Wide Cohort Open
Background: Following implementation of the Affordable Care Act, unplanned readmission has become an important metric of health care quality. We sought to identify determinants of 30-day readmission in a nationwide cohort. Methods: This is…
View article: Abstract QS33: Breastfeeding Capability After Benign Breast Surgery
Abstract QS33: Breastfeeding Capability After Benign Breast Surgery Open
Purpose: Many breast surgeons are fearful of operating on young women due to the potential impact on future lactation ability. Despite these concerns, there is extremely sparse data regarding the effect of benign breast surgery on breastfe…
View article: MON-031 A Gene Expression Profile of the Adolescent Breast and the Impact of Obesity
MON-031 A Gene Expression Profile of the Adolescent Breast and the Impact of Obesity Open
Environmental exposures that occur early in life affect breast development and breast cancer (BC) risk in adulthood. Puberty is one such developmental ‘window of susceptibility’ when estrogen (E) stimulates breast adipocytes and stromal an…
View article: Abstract 17: Estrogen-containing Hormonal Contraceptives May Prevent Additional Breast Hypertrophy In Adolescents With Macromastia
Abstract 17: Estrogen-containing Hormonal Contraceptives May Prevent Additional Breast Hypertrophy In Adolescents With Macromastia Open
Purpose: Hormonal contraceptives (HC) are commonly prescribed in adolescents for a myriad of health benefits. However, providers worry that HC use in adolescents with macromastia (breast hypertrophy) may exacerbate breast growth. This stud…
View article: Abstract QS34: Establishing Normative Values For Adolescent Quality Of Life Studies In Plastic Surgery
Abstract QS34: Establishing Normative Values For Adolescent Quality Of Life Studies In Plastic Surgery Open
Purpose: Adolescence is a challenging time and an increasing number of young people are seeking plastic surgery. With the rise of health-related quality of life (HRQoL) studies in plastic surgery, it is critical to understand the natural v…