Lessons from American Board of Plastic Surgery Maintenance of Certification Tracer Data: A 16-Year Review of Clinical Practice Patterns and Evidence-Based Medicine in Cleft Palate Repair.


BACKGROUND:As a component of the Maintenance of Certification process from 2003 to 2019, the American Board of Plastic Surgery tracked 20 common plastic surgery operations. By evaluating the data collected over 16 years, the authors are able to examine the practice patterns of pediatric/craniofacial surgeons in the United States. METHODS:Cumulative tracer data for cleft palate repair was reviewed as of April of 2014 and September of 2019. Evidence-based medicine articles were reviewed. Results were tabulated in three categories: pearls, or topics that were covered in both the tracer data and evidence-based medicine articles; topics that were covered by evidence-based medicine articles but not collected in the tracer data; and topics that were covered in tracer data but not addressed in evidence-based medicine articles. RESULTS:Two thousand eight hundred fifty cases had been entered as of September of 2019. With respect to pearls, pushback, von Langenbeck, and Furlow repairs all declined in use, whereas intravelar veloplasty increased. For items not in the tracer, the quality of studies relating to analgesia is among the highest of all areas of study regarding cleft palate repair. In terms of variables collected by the tracer but not studied, in 2019, 41 percent of patients received more than 1 day of antibiotics. CONCLUSIONS:This article provides a review of cleft palate tracer data and summarizes the research in the field. Review of the tracer data enables cleft surgeons to compare their outcomes to national norms and provides an opportunity for them to consider modifications that may enhance their practice.


Plast Reconstr Surg


Kearney AM,Gart MS,Brandt KE,Gosain AK




Has Abstract


2020-08-01 00:00:00














  • Treatment of sternal nonunion with the Dall-Miles cable system.

    abstract::We have used this technique in two patients. One had early sternal dehiscence with presternal infection, and the other had late sternal nonunion. Uncomplicated sternal union was achieved in both patients. The cables were nonpalpable in both patients, but they were removed in one patient at that patient's request. This...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Eich BS,Heinz TR

    更新日期:2000-10-01 00:00:00

  • Desmoplastic fibroma of the zygoma.

    abstract::Desmoplastic fibroma is an exceedingly rare primary bone tumor. Previous reports have not included the presentation of this tumor associated with the zygoma. This report describes the unusual presentation and surgical management of a desmoplastic fibroma of the zygoma. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Smith ML,Williams JK,Gruss JS

    更新日期:1999-06-01 00:00:00

  • Does steroid medication reduce facial edema following face lift surgery? A prospective, randomized study of 30 consecutive patients.

    abstract::A prospective, double-blinded study of 30 consecutive face lift patients was conducted to determine if the administration of corticosteroid medication would reduce postoperative facial edema. Half the patients received steroid medications in a random fashion. Three independent plastic surgeons who were blinded to the ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Owsley JQ,Weibel TJ,Adams WA

    更新日期:1996-07-01 00:00:00

  • Development of chemotactic smart scaffold for use in tissue regeneration.

    abstract:BACKGROUND:Regenerative medicine aims to obviate the need for autologous grafting through the use of bioengineered constructs that combine stem cells, growth factors, and biocompatible vehicles. Human mesenchymal stem cells and vascular endothelial growth factor (VEGF) have both shown promise for use in this context, t...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Hokugo A,Li A,Segovia LA,Yalom A,Rezzadeh K,Zhou S,Zhang Z,Zuk PA,Jarrahy R

    更新日期:2015-05-01 00:00:00

  • The effect of pharyngeal flap surgery on the movements of the lateral pharyngeal walls.

    abstract::Observations of prepharyngeal and postpharyngeal flap degrees of lateral pharyngeal wall movement seem to indicate that some individuals have the ability to alter patterns of lateral pharyngeal wall motion. However, most of the subjects did not show changes in lateral pharyngeal wall motion, and in those who did show ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Shprintzen RJ,McCall GN,Skolnick ML

    更新日期:1980-10-01 00:00:00

  • Bone regeneration in the hard palate after cleft palate surgery.

    abstract:BACKGROUND:The purpose of this study was to observe bony healing in the hard palate after cleft palate repair and to discuss the factors affecting it. METHODS:Fifty-two patients with repaired cleft palate were examined at least 1 year postoperatively by means of computed tomographic scanning. The incidence of bone reg...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Yin N,Ma L,Zhang Z

    更新日期:2005-04-15 00:00:00

  • Experience with the gold weight and palpebral spring in the management of paralytic lagophthalmos.

    abstract:BACKGROUND:The loss of the blink reflex and the ability to close the eye actively are disabling functional and aesthetic impairments common to patients with facial paralysis. Nonphysiologic (static) management techniques involve implantation of devices in the upper eyelid that mechanically aid eye closure. The most pop...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Terzis JK,Kyere SA

    更新日期:2008-03-01 00:00:00

  • Biomechanical assessment of regenerate integrity in irradiated mandibular distraction osteogenesis.

    abstract:BACKGROUND:The role of mandibular distraction osteogenesis for reconstructing mandibular defects following radiation therapy depends on the quality of attenuated bone healing in the regenerate. This study investigated the regenerate properties after radiation therapy using yield and breaking load. The authors hypothesi...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Schwarz DA,Jamali AM,Kakwan MS,Fregene A,Arman KG,Buchman SR

    更新日期:2009-02-01 00:00:00

  • 5-fluorouracil selectively inhibits collagen synthesis.

    abstract:BACKGROUND:Fibroproliferative disorders, such as Dupuytren's contracture of the hand, are characterized by excessive production of collagen. 5-Fluorouracil has been used to treat fibroproliferative disorders of the eye and skin and is thought to inhibit thymidylate synthetase blocking DNA replication. 5-Fluorouracil ha...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Bulstrode NW,Mudera V,McGrouther DA,Grobbelaar AO,Cambrey AD

    更新日期:2005-07-01 00:00:00

  • Syndactylic toe transfer for fingertip reconstruction.

    abstract::In the case of multiple fingertip reconstruction requiring toe transfer, double toes can be elevated in the syndactylic fashion with a single vascular pedicle for transfer, followed by separation a few weeks later. The biggest advantage of this procedure is that the problem of limitation of recipient arteries for mult...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Hirasé Y,Kojima T,Takeishi M,Konno M

    更新日期:1995-03-01 00:00:00

  • Intraoperative Tissue Perfusion Measurement by Laser Speckle Imaging: A Potential Aid for Reducing Postoperative Complications in Free Flap Breast Reconstruction.

    abstract::Adequate tissue perfusion is essential to minimize postoperative complications following microsurgery. Intraoperative knowledge of tissue perfusion could aid surgical decision-making and result in reduced complications. Laser speckle imaging is a new, noninvasive technique for mapping tissue perfusion. This article di...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: To C,Rees-Lee JE,Gush RJ,Gooding KM,Cawrse NH,Shore AC,Wilson ADH

    更新日期:2019-02-01 00:00:00

  • A nationwide curriculum analysis of integrated plastic surgery training: is training standardized?

    abstract:BACKGROUND:The integrated model of plastic surgery education, shortly to become the standard for all 6-year programs, has set minimal but no maximal exposure to plastic surgery. The authors hypothesized that the first 3 years of integrated training will show variability among residency programs. METHODS:Rotation sched...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Schneider LF,Barr J,Saadeh PB

    更新日期:2013-12-01 00:00:00

  • Gasoline immersion injury.

    abstract::Chemical burns and pulmonary complications are the most common problems encountered in the patient immersed in gasoline. Our patient demonstrated a 46-percent total-body-surface area, partial-thickness chemical burn. Although he did not develop bronchitis or pneumonitis, he did display persistent atelectasis, laryngea...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Simpson LA,Cruse CW

    更新日期:1981-01-01 00:00:00

  • Congenital skin tube pedicle associated with the constriction band syndrome.

    abstract::A very rare case of congenital skin tube pedicle with congenital constriction band syndrome was presented. Only one report concerning this bizarre abnormality could be found in the available literature, and no consideration of its etiology has previously been published. In our case, the skin tube was accompanied by th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Nakamura K,Nanjyo B

    更新日期:1992-04-01 00:00:00

  • A comparison of factors affecting aesthetic outcomes of TRAM flap breast reconstructions.

    abstract::The aesthetic results of TRAM flap breast reconstructions were assessed in 237 consecutive breast cancer patients. Nine independent judges, none of whom were plastic surgeons or members of the reconstructive team, assigned an aesthetic score to each patient after viewing postoperative photographs. We found that bilate...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kroll SS,Coffey JA Jr,Winn RJ,Schusterman MA

    更新日期:1995-09-01 00:00:00

  • Clinical applications of the subgaleal fascia.

    abstract::The anatomic boundaries and vascular supply of the subgaleal fascia have been described previously. The thin and malleable subgaleal fascia was selected for difficult reconstructive problems in seven patients. This flap has been based on either the supraorbital or the superficial temporal vascular leash. The subgaleal...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Carstens MH,Greco RJ,Hurwitz DJ,Tolhurst DE

    更新日期:1991-04-01 00:00:00

  • Ring avulsion injury.

    abstract::Dependent upon the age, the occupation, and the requisites of an individual patient, the less important ulnar fingers may be of great value; in these the philosophy of discriminate preservation should be given considerable weight in the choice of treatment. Revascularization of fingers injured by a ring avulsion, and...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Flagg SV,Finseth FJ,Krizek TJ

    更新日期:1977-02-01 00:00:00

  • Critical Evaluation of Risk Factors and Early Complications in 564 Consecutive Two-Stage Implant-Based Breast Reconstructions Using Acellular Dermal Matrix at a Single Center.

    abstract:BACKGROUND:Acellular dermal matrix for implant-based breast reconstruction appears to cause higher early complication rates, but long-term outcomes are perceived to be superior. This dichotomy is the subject of considerable debate. The authors hypothesized that patient characteristics and operative variables would have...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Selber JC,Wren JH,Garvey PB,Zhang H,Erickson C,Clemens MW,Butler CE

    更新日期:2015-07-01 00:00:00

  • Surgical anatomy of the mimic muscle system and the facial nerve: importance for reconstructive and aesthetic surgery.

    abstract::Mimic muscles are arranged in four layers regarding their origins, and these four layers should be considered when muscle tissue is added or lifted. All mimic muscles are built up by parallel fibers. Mean values of length, width, and thickness of the three lip elevators have been determined. These data might be of imp...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Freilinger G,Gruber H,Happak W,Pechmann U

    更新日期:1987-11-01 00:00:00

  • A cost-utility analysis of the use of preoperative computed tomographic angiography in abdomen-based perforator flap breast reconstruction.

    abstract:BACKGROUND:Computed tomographic angiography is a diagnostic tool increasingly used for preoperative vascular mapping in abdomen-based perforator flap breast reconstruction. This study compared the use of computed tomographic angiography and the conventional practice of Doppler ultrasonography only in postmastectomy rec...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Offodile AC 2nd,Chatterjee A,Vallejo S,Fisher CS,Tchou JC,Guo L

    更新日期:2015-04-01 00:00:00

  • Reconstruction of Posterior Mandibulectomy Defects in the Modern Era of Virtual Planning and Three-Dimensional Modeling.

    abstract:BACKGROUND:Posterior mandibulectomy defects can be reconstructed using either soft tissue or vascularized bone. The authors hypothesize that advances in computer-aided design and manufacturing (CAD-CAM) have resulted in osteocutaneous free flaps now proving superior to soft-tissue flaps. METHODS:The authors conducted ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Chang EI,Boukovalas S,Liu J,Largo RD,Hanasono MM,Garvey PB

    更新日期:2019-09-01 00:00:00

  • Why some patients are unhappy: part 2. Relationship of nasal shape and trauma history to surgical success.

    abstract:BACKGROUND:A previous report indicated that secondary rhinoplasty patients with normal preoperative noses displayed significantly higher prevalences of depression, demanding behavior, previous aesthetic operations, and confirmed trauma (abuse/neglect) histories than patients who originally had dorsal deformities or str...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Constantian MB,Lin CP

    更新日期:2014-10-01 00:00:00

  • Postoperative Patient- and Parent-Reported Outcomes for Children with Congenital Hand Differences: A Systematic Review.

    abstract:BACKGROUND:Patient- and parent-reported outcomes are increasingly considered as measures of treatment effectiveness for congenital conditions. The authors' specific aim was to review the use of patient- and parent-reported outcomes of quality of life, activities of daily living, perception of hand appearance, and satis...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Bickham RS,Waljee JF,Chung KC,Adkinson JM

    更新日期:2017-06-01 00:00:00

  • The clinical and diagnostic consequences of Poly Implant Prothèse silicone breast implants, recalled from the European market in 2010.

    abstract:BACKGROUND:Recently, Poly Implant Prothèse silicone breast implants were recalled from the European market. The authors studied 112 women and previously published data on rupture prevalence. Women are presenting with symptoms they feel may be a result of ruptured implants. The authors' aim was to study the clinical con...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Maijers MC,Niessen FB

    更新日期:2013-03-01 00:00:00

  • Clinical and anatomical study of cervicopectoral superthin flaps.

    abstract:BACKGROUND:The authors have used cervicopectoral superthin flaps to reconstruct face, chin, and neck scar contractures. In the authors' clinical experience, three types of flaps could be harvested: (1) cutaneous pedicled flaps, (2) musculocutaneous pedicled flaps, and (3) muscle pedicled flaps. In the present study, th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Vinh VQ,Ogawa R,Iwakiri I,Hyakusoku H,Tanuma K

    更新日期:2007-04-15 00:00:00

  • Closed reduction and fluoroscopically assisted percutaneous stabilization of displaced subcondylar mandible fractures.

    abstract:BACKGROUND:Displaced subcondylar fractures of the mandible are difficult to treat. Open reduction with internal fixation carries significant risks including devascularization of the condylar segment, facial nerve injury, and scarring. Closed treatment with mandibular-maxillary fixation alone accepts a misaligned fractu...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Boutros SG

    更新日期:2005-09-15 00:00:00

  • Comparison of donor-site healing under Xeroform and Jelonet dressings: unexpected findings.

    abstract::Split-thickness skin grafts remain central to the strategy of burn wound treatment. The dressing used to cover the donor wound site has a significant effect on healing parameters. The purpose of this study was to compare split-thickness skin graft donor site reepithelialization under Xeroform and Jelonet dressings. A ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章


    authors: Malpass KG,Snelling CF,Tron V

    更新日期:2003-08-01 00:00:00

  • Change in Hand Function and Dexterity with Age after Index Pollicization for Congenital Thumb Hypoplasia.

    abstract:BACKGROUND:Little is known about how performance on strength, range of motion, and dexterity measures changes as children with index finger pollicization mature. The authors reviewed performance in range of motion, strength, and dexterity over a 7-year period and report outcomes over time. METHODS:Data from children t...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kollitz KM,Tomhave W,Van Heest AE,Moran SL

    更新日期:2018-03-01 00:00:00

  • Easy orientation of the cut ends for nerve suture.

    abstract::A technique for orienting cut nerve ends for suturing is presented. A mirror is used to reflect one end, making its image identical to that of the other end--so that proper orientation is greatly facilitated. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Vickers DW

    更新日期:1979-01-01 00:00:00

  • Rat mandibular distraction osteogenesis: Part I. Histologic and radiographic analysis.

    abstract::The application of distraction osteogenesis to craniofacial surgery has altered the approach and treatment of congenital and acquired craniofacial defects. Although the histologic and ultrastructural changes associated with distraction osteogenesis have been described extensively, relatively little is known about the ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Rowe NM,Mehrara BJ,Dudziak ME,Steinbreck DS,Mackool RJ,Gittes GK,McCarthy JG,Longaker MT

    更新日期:1998-11-01 00:00:00