Program and Abstracts | ePosters | Oral Presentation Abstracts
Friday January 10, 2020
6:30 am - 8:15 am
Continental Breakfast
6:30 am - 8:00 am
AAHS/ASPN Instructional Courses
117
MOC Course- Metacarpal Fracture
Chair: Donald Lalonde, MD
Instructors: Eitan Melamed, MD; Leo T. Kroonen, MD; Ann S. Golden, MD
Chair: Donald Lalonde, MD
Instructors: Eitan Melamed, MD; Leo T. Kroonen, MD; Ann S. Golden, MD
This will be a course of the most clinically useful evidence based material combined with the instructors’ best tips and tricks to successfully manage metacarpal fractures in the most patient friendly way possible.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Improve their successful management of some metacarpal fractures non operatively in a very patient friendly manner.
- Adopt new strategies to make surgical management of metacarpal fractures more successful in their practice
- Apply the science of the most clinically useful best evidence available in a practical way to provide better safer care.
7:00 am - 8:00 am
AAHS/ASPN Instructional Courses
118
Current Surgical Approach For Upper Extremity Lymphedema
Co-Chairs: Isao Koshima, MD; Yukio Seki, MD
Instructors: Rebecca M. Garza, MD; Takumi Yamamoto, MD; Ming-Huei Cheng, MD
Co-Chairs: Isao Koshima, MD; Yukio Seki, MD
Instructors: Rebecca M. Garza, MD; Takumi Yamamoto, MD; Ming-Huei Cheng, MD
Upper extremity lymphedema is a dreaded and not uncommon complication from the treatment of breast cancer. Professional hand surgeons with microsurgical skills must be one of the major groups of future lymph surgeons for upper extremity lymphedema. Anatomical and theoretical advances in treating upper extremity lymphedema make it possible to cure upper extremity lymphedema by surgical approaches. In this course, participants understand current surgical approaches for upper extremity lymphedema. After the course, participants have motivations to be future leaders of lymph surgeons with their new insights.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Discuss how to detect lymphatic vessels in upper extremity.
- Identify how to perform lymphaticovenular anastomosis for upper extremity lymphedema.
- Discuss how to perform local and free lymph node transfer for upper extremity lymphedema
119
The Spastic Upper Extremity: Surgical Procedure to Improve Quality of Life
Chair: Peter Rhee, MD
Instructors: Mary Ann Keenan, MD; Andreas Gohritz, MD; Stephanie Kannas, OTR/L, CHT
Chair: Peter Rhee, MD
Instructors: Mary Ann Keenan, MD; Andreas Gohritz, MD; Stephanie Kannas, OTR/L, CHT
An injury to the upper motor neuron results in impaired regulation of motor activity that can manifest as hyper-reflexia or spasticity. This can lead to an imbalance of forces across the joint and result in static or dynamic deformities in the upper extremities. In severe cases, these deformities can result in hygiene issues and markedly decrease quality of life. The goals of surgical reconstruction are to reduce pain, improve hygiene, enhance functionality, and to correct unaesthetic contractures. This course will review the evaluation and management of this unique and underserved patient population. A case-based format will be utilized to illustrate the approach to managing common spastic deformities in the upper extremity based on the functionality of the extremity. Participants will be able to incorporate the techniques discussed into their practice towards the treatment of mild to severe spastic deformities in the upper extremities.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Explain the impact of upper extremity spasticity on function and quality of life
- Describe the indications and goals for upper extremity surgery in patients with upper motor neuron syndrome.
- Recognize the surgical approach to decrease spasticity in the functional and non-functional upper extremity.
120
Arthroscopic treatment of scaphoid pathology: Fantasy or Reality
Chair: Margaret Fok, MD
Instructors: Wing Lim Tse, MD; PC Ho, MD; Esther Chow, MD
Chair: Margaret Fok, MD
Instructors: Wing Lim Tse, MD; PC Ho, MD; Esther Chow, MD
The management of scaphoid fractures can be confusing. Which approach should I use, should I use a vascularized none graft? With the ever increasing use of wrist arthroscopy, we will discuss minimally invasive techniques that will Change The Way You Think. Join us for this case based discussion where the faculty will share on decision making pearls and technical tips and tricks in the management of scaphoid fractures and nonunions.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Describe the general approach in managing scaphoid fractures.
- Discuss arthroscopic treatment for scaphoid fractures
- Recognize arthroscopic management for scaphoid fracture sequalae
121
The Buncke Clinic Course on Toe Transplantation for Thumb Reconstruction
Chair: Gregory Buncke, MD
Instructors: Rudolph Buntic, MD; Antonio Jorge Forte, MD, PhD; Bauback Safa, MD; Andrew Watt, MD
Chair: Gregory Buncke, MD
Instructors: Rudolph Buntic, MD; Antonio Jorge Forte, MD, PhD; Bauback Safa, MD; Andrew Watt, MD
The faculty will teach the audience different surgical techniques employed when performing a thumb reconstruction with either a toe transplantation or a toe wrap, providing them a better idea of the intraoperative steps, as well as tips and tricks to optimize surgical outcomes.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Discuss the principles of thumb reconstruction using microsurgery Learn the steps employed in a toe to thumb transplantation
- Discuss the steps involved in a toe wrap thumb reconstruction
- Discuss the additional procedures necessary to improve function after the above mentioned procedures
122
Evaluation and Management of Hand and Wrist Trauma in the Pediatric Patient
Chair: Jonathan Cheng, MD
Instructors: Jennifer Kargel, MD; Purushottam Nagarkar, MD; Laura Hanna, PA-C; Jessica Johnson, CHT
Chair: Jonathan Cheng, MD
Instructors: Jennifer Kargel, MD; Purushottam Nagarkar, MD; Laura Hanna, PA-C; Jessica Johnson, CHT
This course will discuss the mechanism of injury and clinical presentation of common hand and wrist injuries in the pediatric patient population. It will include recommendations for early diagnosis and stabilization of these conditions, timing for appropriate treatment in this patient group, and surgical and non-operative management of these injuries. Post-injury and post-operative hand therapy techniques utilized in the pediatric patient population will also be reviewed.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Identify common pediatric hand and wrist injuries.
- Learn how to triage and appropriately stabilize these conditions in the acute injury period.
- Develop operative and non-operative treatment plans for common pediatric hand and wrist injuries, including incorporation of occupational therapy techniques to improve functional outcomes
123
Nerve Compression Syndromes: Challenges to Optimize Outcomes
Chair: Kyle R. Eberlin, MD
Instructors: Steve Moran, MD; Henk Coert, MD; Jaret Olson, MD; Kim McVeigh, OT, CHT
Chair: Kyle R. Eberlin, MD
Instructors: Steve Moran, MD; Henk Coert, MD; Jaret Olson, MD; Kim McVeigh, OT, CHT
Compression neuropathy can lead to pain and extremity dysfunction. This course will address aspects of nerve compression syndromes that are challenging with regards to diagnosis and treatment. This group of experts will highlight innovations and opportunities to improve outcomes including diagnostic pearls, supercharge nerve transfers and electrical stimulation.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Summarize challenges of nerve compression syndromes, including recurrent conditions.
- Develop a treatment algorithm for patients with compression neuropathies.
- Learn perioperative strategies, i.e. diagnostic pearls, supercharge nerve transfers, electrical stimulation, to enhance recovery in patients with nerve compression syndromes
124
Nerve Transfers versus Tendon Transfers to Restore Upper Extremity Function
Chair: Jason H. Ko, MD
Instructors: R. Glenn Gaston, MD; Christopher Doherty, MD; Paige M. Fox, MD; PhD; Hollie A. Power, MD; Lorna C. Khan, PT, CHT
Chair: Jason H. Ko, MD
Instructors: R. Glenn Gaston, MD; Christopher Doherty, MD; Paige M. Fox, MD; PhD; Hollie A. Power, MD; Lorna C. Khan, PT, CHT
High nerve injuries pose a difficult reconstructive challenge. The use of nerve transfers to restore function have become more popular in upper extremity nerve reconstruction; however, the reliability of tendon transfers is still profound. The experts in this course will debate the indications, use and feasibility of these two reconstructive options to maximize outcomes.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Discuss the indications, risks and benefits of using tendon transfers versus nerve transfers to restoring function after high nerve injury.
- Develop a treatment algorithm for high nerve injuries.
- Learn innovative techniques to restore high nerve injuries.
8:05 am - 8:10 am
ASPN President and Program Chair Welcome (Not for Credit)
Christine Novak, PT, PhD; ASPN President
Amy M. Moore, MD; ASPN Program Chair
Christine Novak, PT, PhD; ASPN President
Amy M. Moore, MD; ASPN Program Chair
8:10am - 8:40 am
Invited Speaker
When You Have Nothing, A Little is A Lot: Nerve Transfers in Distressed Patient Populations
Scott Kozin, MD
When You Have Nothing, A Little is A Lot: Nerve Transfers in Distressed Patient Populations
Scott Kozin, MD
8:40am - 8:50am
2018 and 2019 ASPN/PSF Award Grant Recipients
Multichannel Carbon Fiber Electrodes to Enhance Nerve Regeneration
Stephen Kemp, MD, 2018 ASPN/PSF Research Grant Recipient
Neuronal and Schwann Cell Transcriptional States in Peripheral Nerve Regeneration
Suresh Mohan, MD, 2019 ASPN/PSF Research Grant Recipient
Multichannel Carbon Fiber Electrodes to Enhance Nerve Regeneration
Stephen Kemp, MD, 2018 ASPN/PSF Research Grant Recipient
Neuronal and Schwann Cell Transcriptional States in Peripheral Nerve Regeneration
Suresh Mohan, MD, 2019 ASPN/PSF Research Grant Recipient
8:50am - 8:55am
2019 ASPN Travelling Fellowship Recipient
Alison K. Snyder-Warwick, MD
Alison K. Snyder-Warwick, MD
8:55 am - 10:00 am
ASPN Scientific Paper Session I
Moderators: Kristen Davidge, Jonathan Winograd, Stephen Kemp
Moderators: Kristen Davidge, Jonathan Winograd, Stephen Kemp
1. A novel nanofiber hydrogel-based drug delivery system for sustained release of IGF-1 nanoparticles to augment functional outcomes after nerve repair Karim A Sarhane, MD, MSc1, Chenhu Qiu, MS1, Benjamin R Slavin, BS2, Nicholas Hricz, BS2, Marcos Iglesias, DVM, PhD1, Nicholas von Guionneau, MBBS2, Philip J Hanwright, MD2, Ruifa Mi, MD, PhD1, Ahmet Höke, MD, PhD1, Hai-Quan Mao, PhD1; Sami H. Tuffaha, MD3 1Johns Hopkins University, Baltimore, MD, 2Johns Hopkins University School of Medicine, Baltimore, MD, 3Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD |
|
8:58 am - 9:01 am | 2. FK506 Kasra Tajdaran, MASc, PhD Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, ON, Canada |
9:01 am - 9:04 am | 3. T cells Regulate IL-4, which is Critical to Nerve Regeneration across Acellular Nerve Allografts Matthew D Wood, PhD1, Deng Pan, BS1, Daniel A Hunter, NS2, Lauren Schellhardt, BA3, Anja Fuchs, Ph.D.2, Alexandra E Halevi, MD1, Alison K Snyder-Warwick, MD4; Susan E Mackinnon, MD5 1Washington University School of Medicine, St Louis, MO, 2Washington University in St. Louis, St Louis, MO, 3Division of Plastic and Reconstructive Surgery, Washington University in St. Louis School of Medicine, Saint Louis, MO, 4Plastic Surgery, Washington University School of Medicine, St. Louis, MO, 5Department of Surgery, Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, Saint Louis, MO |
9:04 am - 9:07 am | 4. Conditioning Electrical Stimulation Improves Functional Recover in a Tibial to Peroneal Nerve Transfer Jenna-Lynn B Senger, MD, PhD1, Karyne Rabey, PhD1, Michael J Morhart, MD, M.Sc2, K. Ming Chan, MD3; Christine A Webber, PhD1 University of Alberta, Edmonton, AB, Canada, 2Division of Plastic and Reconstructive Surgery, University of Alberta, Edmonton, AB, Canada, 3Division of Physical Medicine & Rehabilitation, University of Alberta, Edmonton, AB, Canada |
9:07 am - 9:10 am | 5. Transdermal Application of 4-aminopyridine (4AP) Promotes Peripheral Nerve Injury Recovery: Improvements in Function, Axonal Degeneration, Myelination, Electrodiagnostic Parameters John C Elfar, MD, FACS1, Andrew Clark, PhD2, Chia George Hsu, PhD2, Mark Noble, PhD2; M A Hassan Talukder, MBBS, PhD3 1The Pennsylvania State University, Hershey, PA, 2University of Rochester, Rochester, NY, 3The Pennsylvania State University College of Medicine, Hershey, PA |
9:10 am - 9:15 am | Discussion |
9:15 am - 9:18 am | 6. Elucidating the Relative Impact of Muscle vs. Schwann Cell Denervation on Functional Recovery in a Novel Rodent Model Karim A Sarhane, MD, MSc1, Benjamin R Slavin, BS2, Nicholas Hricz, BS2, Harsha Malapati, BS2, Yi-nan Guo, BS1, Michael Grzelak, BS1, Irene Aran Chang, HSDG1, Alison L Wong, MD, MSE1, Ruifa Mi, MD, PhD1, Ahmet Höke, MD, PhD1; Sami H. Tuffaha, MD3 1Johns Hopkins University, Baltimore, MD, 2Johns Hopkins University School of Medicine, Baltimore, MD, 3Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD |
9:18 am - 9:21 am | 7. Terminal Schwann Cells are Integral for Neuromuscular Junction Function and Reinnervation Eric Balta, BS, BA1, Albina Jablonka-Shariff, PhD1, Johnny Chuieng-Yi Lu, MD, MS1, Katherine Bernadette Santosa, MD, MS1; Alison K. Snyder-Warwick, MD2 1Washington University School of Medicine, St. Louis, MO, 2Washington University School of Medicine, Saint Louis, MO |
9:21 am - 9:24 am | 8. #8 RNA-driven Epigenetic Modulation of Neurotropic Factors Through CTDSP1 and REST Pathway As a Novel Strategy in Peripheral Nerve Regeneration After Traumatic Injury Noreen M. Gervasi, PhD1,2, Marvin E Dingle, MD3, DesRaj M. Clark, MD3, Andres S. Piscoya, MD3, Alexander Dimtchev, MD PhD1,2; Leon J Nesti, MD PhD1,3 1Uniformed Services University, Bethesda, MD, 2Henry M Jackson Foundation, Bethesda, MD, 3Walter Reed National Military Medical Center, Bethesda, MD |
9:24 am - 9:27 am | 9. Neuroma-In-Continuity Model in Mice - A Pilot Study Daniel Umansky, MD, Kathleen Hagen, BSc, Tak Ho Chu, PhD, Shalina S. Ousman, PhD; Rajiv Midha, MD, MSc University of Calgary, Calgary, AB, Canada |
9:27 am - 9:30 am | 10. Targeted Muscle Reinnervation in Rat Spared Nerve Injury Models Neuropathic Amputation-Related Pain Relief Elizabeth L. Roth, B.S., Cheryl Stucky, Ph.D., Quinn Hogan, M.D.; Gwendolyn M.B. Hoben, M.D., Ph.D. Medical College of Wisconsin, Milwaukee, WI |
9:30 am - 9:35 am | Discussion |
9:35 am - 9:38 am | 11. Targeted Muscle Reinnervation Effectively Reduces Pain and Improves Ambulation Rates in a Highly Comorbid Patient Population Undergoing Lower Limb Amputation Brian L Chang, MD, Christopher M Fleury, MD, Patrick W Harbour, MD, Christopher E. Attinger, MD; Grant M Kleiber, MD Georgetown University, Washington, DC |
9:38 am - 9:41 am | 12. Surgical Options and Outcomes for Acute Flaccid Myelitis Sameer H Halani, MD, MSc1, Amy Kite, MD1; Jonathan Cheng, MD2 1UT Southwestern, Dallas, TX, 2Plastic Surgery, UT Southwestern, Dallas, TX |
9:41 am - 9:44 am | 13. Automated Spontaneity Assessment after Smile Reanimation: An Artificial Intelligence Approach Joseph R Dusseldorp, MBBS, MS, FRACS1, Diego L Guarin, PhD1, Martinus M van Veen, MD1, Nate Jowett, MD2; Tessa A Hadlock, MD3 1Harvard University, Boston, MA, 2Facial Nerve Center - Dept. of Otolaryngology, Harvard Medical School / Massachusetts Eye and Ear, Boston, MA, 3Facial Nerve Center - Dept. of Otolaryngology, Harvard Medical School / Massachusetts Eye and Ear Infirmary, Boston, MA |
9:44 am - 9:47 am | 14. Patient Drawings of Migraine Pain- Key to Success in Patient Selection? Marek A. Hansdorfer, M.D.1,2, Lisa Gfrerer, M.D., Ph.D.3, Ricardo Ortiz, B.Sc.3, Kassandra P. Nealon, B.Sc.3; William G., Jr. Austen, MD3 1Plastic & Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 2Rush University Medical Center, Chicago, IL, 3Massachusetts General Hospital, Harvard Medical School, Boston, MA |
9:47 am - 9:50 am | 15. Axillary to Triceps Nerve Transfer for Restoration of Elbow Extension in Tetraplegia: A Cautionary Tale Jana Dengler, MD1,2, Ida K. Fox, MD3, Scott H Kozin, MD4; Dan A Zlotolow, MD4 1Washington University School of Medicine, St Louis, MO, 2Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 3Department of Surgery, Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, MO, 4Shriners Hospital for Children Philadelphia, Philadelphia, PA |
9:50 am - 9:55 am | Discussion |
10:00 am - 10:30 am
Coffee Break with Exhibitors
10:30 am - 11:30 am
Concurrent AAHS/ASPN Scientific Abstract Session
Moderators:
Moderators:
AAHS | Ida K. Fox, MD; Jaime T. Shores, MD |
ASPN: | Hollie Power, MD; Kyle Eberlin, MD |
10:30 am - 10:33 am | HSPN 1. Supercharge End-to-Side Anterior Interosseous-to-Ulnar Motor Nerve Transfer Restores Intrinsic Function in Cubital Tunnel Syndrome Jana Dengler, MD1,2, Utku Dolen, MD3, J. Megan M. Patterson, MD4, Kristen M Davidge, MD, MSc, FRCS(C)5, Lorna C. Kahn, PT, CHT6, Andrew Yee, BS7; Susan E Mackinnon, MD8 1Washington University School of Medicine, St Louis, MO, 2Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 3Washington University, St Louis, MO, 4Department of Orthopaedics, University of North Carolina, Chapel Hill, NC, 5The Hospital for Sick Children, Toronto, ON, Canada, 6Milliken Hand Rehabilitation Center, The Rehabilitation Institute of St Louis, Saint Louis, MO, 7Department of Surgery, Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, Saint Louis, MO, 8Washington University School of Medicine, Saint Louis, MO |
10:33 am - 10:36 am | HSPN 2. Sonographic Grading Of Carpal Tunnel Syndrome Jesse D Kaplan, MD1; John Fowler, MD2 1University of California, Irvine, Orange, CA, 2Orthopaedic Surgery and Sports Medicine, University of Pittsburgh, Pittsburgh, PA |
HSON 3. Medial Triceps As A Preferential Nerve Donor In Axillary Motor Nerve Transfer For Isolated And Brachial Plexus-Associated Axillary Nerve Palsy Emily Krauss, BSc MSc MD1, Elspeth J R Hill, MD PhD MRes2, Shelley S. Noland, MD3, Nirbhay S Jain, MD4, Lorna C Kahn, BSPT CHT5; Susan E Mackinnon, MD6 1University of British Columbia, Victoria, BC, Canada, 2Washington University School of Medicine, St Louis, MO, 3Mayo Clinic, Phoenix, AZ, 4University of California, Los Angeles, Los Angeles, CA, 5Washington University, St. Louis, MO, 6Washington University School of Medicine, Saint Louis, MO |
|
10:39 am - 10:42 am | HSPN 4. Anterior Interosseous Nerve Syndrome Redefined Scott W Wolfe, MD1, Darryl B Sneag, MD2, Ogonna K. Nwawka, MD2, Zsuzsanna Aranyi, MD, Ph.D.3, Esther Zusstone, BS2, Steve K Lee, MD4; Joseph H Feinberg, MD2 1Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY, 2Hospital for Special Surgery, New York, NY, 3Semmelweis Egyptem, Budapest, Hungary, 4Orthopedic Surgery, Hospital for Special Surgery, New York, NY |
10:42 am - 10:45 am | HSPN 5. Long-Term Outcome Of Isolated Bypass Grafting Into Suprascapular Nerve For Upper Brachial Plexus Birth Injury Aaron J Berger, MD, PhD1, Leslie Grossman, BA2, Andrew Price, MD2,3, Herbert Valencia, RNFA2; John A.I. Grossman, MD2 1Division of Plastic and Reconstructive Surgery, Nicklaus Children's Hospital, Miami, FL, 2Nicklaus Children's Hospital, Miami, FL, 3NYU Hospital for Joint Diseases, New York, NY |
10:45 am - 10:50 am | Discussion AAHS/ASPN |
10:50 am - 10:53 am | HSPN 6. A Comparative Study Using Electromyography to Assess Hand Exercises For Rehabilitation After Ulnar Nerve Decompression Colton G Boudreau, MSc, Joseph Corkum, MD, Ian Grant, MD; David Tang, MD Dalhousie University, Halifax, NS, Canada |
10:53 am - 10:56 am | HSPN 7. Surgical Management Of Upper Extremity Nerve Injuries Presenting With Painful Neuroma: Reconstructive Options With Processed Nerve Allograft Sonu Jain, MD1, Ian Valerio, MD2, Fraser J. Leversedge, MD3, John Ingari, MD4, Bauback Safa, MD, FACS5, Timothy Niacaris, MD, PhD6, Renata Weber, MD7, Jozef Zoldos, MD8, Mihir J. Desai, MD9, Wesley P. Thayer, MD, PhD10; Gregory M Buncke, MD5 1Department of Plastic Surgery, Ohio State University, Columbus, OH, 2The Ohio State University, Columbus, OH, 3Department of Orthopaedic Surgery, DUKE UNIVERSITY, Durham, NC, 4Johns Hopkins Hospital, Baltimore, MD, 5The Buncke Clinic, California Pacific Medical Center, San Francisco, CA, 6Department of Orthopaedic Surgery, JPS Health Network, Fort Worth, TX, 7Institute for Nerve, Hand and Reconstructive Surgery, Rutherford, NJ, 8Arizona Center for Hand Surgery, Phoenix, AZ, 9Vanderbilt Orthopaedics, Nashville, TN, 10Department of Plastic Surgery, Vanderbilt University, Nashville, TN |
10:56 am - 10:59 am | HSPN 8. Anterior Interosseous-to-Ulnar Motor Nerve Transfer in Chronic Ulnar Neuropathy Graham J McLeod, BSc. MD, PGY-51, Tanis Quaife, BSc. MD, PGY-21, Tod A. Clark, MD, FRCSC2; Jennifer Lindsay Giuffre, MD, FRSCS3 1University of Manitoba, Winnipeg, MB, Canada, 2Department of Orthopedics, University of Manitoba, Pan Am Clinic, Winnipeg, MB, Canada, 3Section of Plastic Surgery, University of Manitoba, Pan Am Clinic, Winnipeg, MB, Canada |
10:59 am - 11:02 am | HSPN 9. The Role of Micro-neurolysis for Hourglass Constrictions in Neuralgic Amyotrophy Scott W Wolfe, MD1, Karthik Kirshnan, BS2, Steve K Lee, MD3, Joseph H Feinberg, MD4, Ogonna K. Nwawka, MD4; Darryl B Sneag, MD4 1Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY, 2Weill Medical College of Cornell University, New York, NY, 3Orthopedic Surgery, Hospital for Special Surgery, New York, NY, 4Hospital for Special Surgery, New York, NY |
11:02 am - 11:05 am | HSPN 10. Restoration of Proprioceptive and Cutaneous Sensation Using Regenerative Peripheral Nerve Interfaces (RPNIs) in Humans with Upper-Limb Amputations Philip P Vu, PhD1, Charles Lu, MSE1, Alex Vaskov, MSE1, Deanna Gates, PhD1, Richard B. Gillespie, PhD2, Theodore A Kung, MD3, Paul S. Cederna, MD4, Cynthia Chestek, Ph.D.1; Stephen WP Kemp, PhD1 1University of Michigan, Ann Arbor, MI, 2Mechanical Engineering, University of Michigan, Ann Arbor, MI, 3Section of Plastic & Reconstructive Surgery, University of Michigan, Ann Arbor, MI, 4Department of Surgery, Section of Plastic Surgery, University of Michigan, Ann Arbor, MI |
11:05 am - 11:10 am | Discussion ASPN/AAHS |
11:10 am - 11:13 am | HSPN 11. Impact of Body Mass Index and Patient Comorbidities on Outcomes in Upper Extremity Nerve Transfers Linden K Head, MD, HBA, BSc, BPHE1, Maria C Médor, BHSc2, Aneesh Karir, BHSc2, Gerald Wolff, BSc, MD, FRCSC3; Kirsty U Boyd, BHSc, MD, FRCSC4 1Division of Plastic and Reconstructive Surgery, University of Ottawa, Ottawa, ON, Canada, 2University of Ottawa, Ottawa, ON, Canada, 3Division of Physical Medicine and Rehabilitation, University of Ottawa, Ottawa, ON, Canada, 4Division of Plastic and Reconstructive Surgery, Ottawa, ON, Canada |
11:13 am - 11:16 am | HSPN 12. Enhanced Recovery After Surgery (ERAS) Reduces Length of Stay and Postoperative Opioid Use in Elective Peripheral Nerve Surgery Patients Disha S Joshi, BS1, Svetlana Kvint, MD1, Marie Kerr, CCRP1, Rachel Pessoa, MSN, CRNP1, Michael Kallan, MS1, Eric L Zager, MD2; Zarina S Ali, MD, MS1 1University of Pennsylvania, Philadelphia, PA, 2Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA |
11:16 am - 11:19 am | HSPN 13. Range of Independence with Feeding, Bladder Management and Transfers by Motor Level in Cervical-Level Spinal Cord Injury Jana Dengler, MD1; Amanda Miller, MD2; Armin Curt, MD3; Munish Mehra, PhD4; Catherine Curtin, MD5; Doug Ota, MD6; Katherine C Stenson, MD7; Carie Kennedy, BS8; Christine B Novak, PT, PhD9; John D Steeves, PhD10; Ida K. Fox, MD11 1Washington University School of Medicine, St Louis, MO; 2Washington University, St Louis, MO; 3Spinal Cord Injury Center, Zurich, Switzerland; 4Tigermed-BDM Inc., Gaithersburg, MD; 5Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, CA; 6Palo Alto Veterans Healthcare System, Palo Alto, CA; 7VA St. Louis Healthcare System, St Louis, MO; 8Washington University in St. Louis, St Louis, MO; 9Toronto Western Hospital Hand Program, University of Toronto, Toronto, ON, Canada; 10ICORD, Vancouver, BC, Canada; 11Department of Surgery, Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, MO |
11:19 am - 11:22 am | HSPN 14. Influence of Knowledge and Expectations on the Patient Experience during Recovery from Traumatic Brachial Plexus Injury Christopher Dy, MD MPH FACS1, David M Brogan, MD, MSc1, Liz Rolf, BS1, Wilson Z Ray, MD1, Anna Van Voorhis, OT, CHT1, Sarah Buday, PhD2, Scott W Wolfe, MD3; Aimee S James, PhD MPH1 1Washington University School of Medicine, St. Louis, MO, 2Washington University, St. Louis, MO, 3Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY |
11:22 am - 11:30 am | Discussion AAHS/ASPN |
11:30 am - 12:30 pm
AAHS/ASPN Joint Panel: Update in Brachial Plexus Surgery - Where Do We Stand In 2020?
Moderator: Robert Spinner, MD
Panelists: Susan E. Mackinnon, MD; Scott Kozin, MD; Allan J. Belzberg, MD; Ann Schwentker, MD
Moderator: Robert Spinner, MD
Panelists: Susan E. Mackinnon, MD; Scott Kozin, MD; Allan J. Belzberg, MD; Ann Schwentker, MD
The management of brachial plexus injuries has continued to evolve over the last few decades. This panel of nerve experts will provide a comprehensive update on the management of patients (pediatric and adult) with brachial plexus injuries. This will include the use of nerve transfers in adults and birth related plexus injuries, contralateral C7 transfers, timing of intervention and advances in neuroimaging.
12:30 pm - 1:15 pm
Lunch with Exhibitors
1:15 pm - 1:45 pm
Invited Lecture
There's no crying in Innovation
Susan E. Mackinnon, MD
There's no crying in Innovation
Susan E. Mackinnon, MD
1:45pm - 3:00pm
ASPN Panel I: Cells, Drugs and Devices - What is on the Horizon for Nerve?
Moderator: Paul S. Cederna, MD
Panelists: Matthew D. Wood, PhD; Ming Chan, MD; Gregory H. Borschel, MD; Raj Midha, MD
Moderator: Paul S. Cederna, MD
Panelists: Matthew D. Wood, PhD; Ming Chan, MD; Gregory H. Borschel, MD; Raj Midha, MD
3:00pm - 4:45pm
ASPN Poster Session
Moderators: Allan J. Belzberg, MD; Kristen Davidge, MD
Moderators: Allan J. Belzberg, MD; Kristen Davidge, MD
P1. | Tissue Engineered Nerve Grafts Facilitate Muscle Reinnervation Following Long Gap Facial Nerve Injury in Swine Zarina S Ali, MD, MS1, Justin C Burrell, MS1,2, Dmitriy Petrov, MD1,2, Kevin Browne, BA1,2, Franco A. Laimo, BS1,2, Kritika Katiyar, PhD1,2,3, Suradip Das, PhD1,2; Daniel Kacy Cullen, PhD1,2 1University of Pennsylvania, Philadelphia, PA, 2CMC VA Medical Center, Philadelphia, PA, 3Axonova Medical, Philadelphia, PA View Poster |
P2. | Interdisciplinary Team Management Changes Diagnosis And Alters Treatment In Patients With Refractory Peripheral Limb Pain Paige Fox, MD, PhD1, Emily Johnson, BA2, Catherine Curtin, MD3, Thomas J Wilson, MD1, Ian Carroll, MD2, Sandip Biswal, MD1, Amelie Lutz, MD1, Daehyun Yoon, PhD2; Vivianne Tawfik, MD, PhD2 1Stanford University, Palo Alto, CA, 2Stanford University, Redwood City, CA, 3Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, CA View Poster |
P3. | Shoulder Injury and Brachial Plexus Injuries; A Prospective Evaluation of Outcomes Matthew WT Curran, MD, MSc1, Alexander Platt, MSc, MD2, Michael Morhart, MSc, MD3, Jaret Olson, MD4; K. Ming Chan, MD5 1Plastic and Reconstructive Surgery, University of Alberta, Edmonton, AB, Canada, 2University of Alberta, Edmonton, AB, Canada, 3Division of Plastic Surgery, University of Alberta, Edmonton, AB, Canada, 4Division of Plastic and Reconstructive Surgery, University of Alberta, Edmonton, AB, Canada, 5Division of Physical Medicine & Rehabilitation, University of Alberta, Edmonton, AB, Canada View Poster |
P4. | Patterns of Peripheral Nerve Injury in Shoulder Dislocations Jessica Truong, MD MSc1, TA Miller, MD2, Christopher D Doherty, MD MPH FRCS(C)1; Douglas C Ross, MD MEd FRCSC3 1Western University, London, ON, Canada, 2Rehabilitation Medicine/ Hand and Upper limb Centre, St. Joseph's Health Centre, University of Western Ontario, London, ON, Canada, 3Roth | McFarlane Hand and Upper Limb Centre, Division of Plastic Surgery, The Peripheral Nerve Clinic, London, ON, Canada View Poster |
P5. | Artificial Intelligence to Evaluate Surgical Outcomes of Dynamic Facial Reanimation Kevin Zuo, MD, MASc1, Tomas J. Saun, MD, MASc1, Christopher Forrest, MD, MSc2; Gregory Borschel, MD3 1University of Toronto, Toronto, ON, Canada, 2The Hospital for Sick Children, Toronto, ON, Canada, 3Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, ON, Canada View Poster |
P6. | Targeted Muscle Reinnervation in the Hand: An Anatomic Feasibility Study for Neuroma Treatment and Prevention Timothy H. F. Daugherty, MD1, Brian A Mailey, MD2, Michael W Neumeister, MD1; Reuben A. Bueno Jr, MD1 1Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, IL, 2Southern Illinois University School of Medicine, Springfield, IL View Poster |
P7. | Chronic Mastectomy Pain Due to Nerve Injury is Easily Diagnosed and Effectively Treated with Intercostal Neurectomy Sarah E Hart, MD1, Shailesh Agarwal, MD2, Jennifer B Hamill, MPH1, Niki Matusko, BS1; David L Brown, MD3 1University of Michigan, Ann Arbor, MI, 2Brigham and Women's Hospital, Boston, MA, 3Plastic Surgery, University of Michigan, Ann Arbor, MI View Poster |
P8. | Reconstruction of Peripheral Trigeminal Nerve Of The Mandible In Pediatric Patients Using Long-Span Nerve Allografts Michael Miloro, MD, DMD, FACS1,2; John R Zuniga, DMD, MS, PhD3 1University of Illinois at Chicago, Chicago, IL, 2Northwestern Memorial Hospital, Chicago, IL, 3University of Texas Southwestern, Dallas, TX View Poster |
P9. | Intra-Operative Electrical Stimulation Of Non-Neuronal Cells Can Improve Nerve Regeneration Across Short Isografts In A Rat Model Grace Catherine Keane, B.A.1, Ellen Larson, B.S.2, Dan A. Hunter, RA3, Deng Pan, BS4, Lauren Schellhardt, BA5, Amy M Moore, MD6, Alison K. Snyder-Warwick, MD7, Matthew Wood, PhD7; Susan E Mackinnon, MD7 1Washington University in Saint Louis School of Medicine, Saint Louis, MO, 2Washington University in St. Louis, St Louis, MO, 3Department of Surgery, Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St Louis, MO, 4Washington University School of Medicine, St Louis, MO, 5Washington University School of Medicine, St. Louis, MO, 6Department of Surgery, Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, Saint Louis, MO, 7Washington University School of Medicine, Saint Louis, MO View Poster |
P10. | Primary Repair of Upper Extremity Peripheral Nerve Injuries. An NSQIP Analysis from 2010-2016 Ryan A Brennan, BS1; Donna Mullner, MD2; Gilberto Gonzalez, MD3; Fernando Herrera, MD2 1University of Kansas School of Medicine, Kansas City, KS; 2Medical University of South Carolina, Charleston, SC; 3Texas Tech University Health Science Center. El Paso, Tx, El Paso, TX View Poster |
P11. | Histomorphometry in Peripheral Nerve Regeneration: Experimental Comparison of Different Axon Counting Methods Lynn M Orfahli, BM1, Majid Rezaei, DDS, MSc1, Audrey Crawford, BS1, Michael J Annunziata, BS1, Carlos Xavier Ordenana, MD1, Brian Alexander Figueroa, MD1, Vahe Fahradyan, MD1, Jerry Silver, PhD2, Antonio Rampazzo, MD, PhD1; Bahar Bassiri Gharb, MD, PhD1 1Cleveland Clinic Foundation, Cleveland, OH, 2Case Western Reserve University, Cleveland, OH View Poster |
P12. | Effect of FK506 Administration on Functional Outcomes of Peripheral Nerve Surgery: A Systematic Review and Meta-Analysis Giulia Daneshgaran, B.S.1,2, Daniel J Gould, MD, PhD3, Mitchel Seruya, MD4; Ketan M. Patel, MD5 1Albert Einstein College of Medicine, Bronx, NY, 2Keck School of Medicine of USC, Los Angeles, CA, 3Keck School of Medicine of University of Southern California, Los Angeles, CA, 4Children's Hospital Los Angeles, Los Angeles, CA, 5Division of Plastic and Reconstructive Surgery, University of Southern California, Los Angeles, CA View Poster |
P13. | Outcomes of Reconstructive Surgery in Traumatic Brachial Plexus Injury with Concomitant Vascular Injury Alice E. Huang, BS1, Shelley S. Noland, MD2, Robert J. Spinner, MD3,4, Allen T. Bishop, MD3,4; Alexander Y. Shin, MD3,4 1Mayo Clinic School of Medicine, Rochester, MN, 2Mayo Clinic, Phoenix, AZ, 3Mayo Clinic, Department of Orthopedic Surgery, Rochester, MN, 4Mayo Clinic, Department of Neurological Surgery, Rochester, MN View Poster |
P14. | An anatomical study to assist with treatment planning for meralgia paraesthetica Elisabeth Russe, MD1,2, Patrick Mandal, MD1, Karl Schwaiger, MD1, Gottfried Wechselberger, MD1; Georg Feigl, MD3 1Hospital of St. John of God, Salzburg, Austria, 2Paracelsus Medical University, Salzburg, Austria, 3Medical University Graz, Graz, Austria View Poster |
P15. | WITHDRAWN |
P16. | Hypothermic ex-situ perfusion enhances nerve signaling viability and skeletal muscle force generation following hindlimb transplant Daniel C Ursu, PhD1,2, Carrie A Kubiak, MD1, Emre Gok, MD1, Erin Guy, BS1, Matthew Ponder, BS3, Mark J Hoenerhoff, DVM, PhD1, Alvaro Rojas-Pena, MD1, Robert H Bartlett, MD1, Paul S Cederna, MD4,5, Kagan Ozer, MD6; Stephen WP Kemp, PhD1 1University of Michigan, Ann Arbor, MI, 2Mechanical Engineering, University of Michigan, Ann Arbor, MI, 3university of michigan, Ann Arbor, MI, 4Plastic Surgery, University of Michigan, Ann Arbor, MI, 5The University of Michigan, Ann Arbor, MI, 6Orthopaedic Surgery, University of Michigan, Ann Arbor, MI View Poster |
P17. | Application of Human Epineural Sheath Conduits Supported with Human Mesenchymal Stem Cells as a Novel Therapy for Enhancement of Nerve Gap Regeneration Marcin Strojny, MD1; Maria Siemionow, MD, PhD, DSc2 1University of Illinois at Chicago, Chicago, IL, 2Department of Orthopaedics, University of Illinois at Chicago, Chicago, IL View Poster |
P18. | The Upstate New York Experience of Managing Bell's Palsy: A Review of 3000 Patient Charts to Determine an Ideal Treatment Alap U. Patel, BA, Dahlia M. Rice, MD, Drew M. Mitchell, BA, Miranda A. Chacon, BS, Luoying Yang, BS, Raissa Villanueva, MD; Jonathan I. Leckenby, MD University of Rochester Medical Center, Rochester, NY View Poster |
P19. | Gal-T Knockout Porcine Nerve Xenografts Support Axonal Regeneration in a Rodent Sciatic Nerve Model Jane M Tsui, MD1, Marek A Hansdorfer, MD1, Samuel D Zarfos, BA1, Yingfang Fan, MD, PhD1, Ann S Kogosov, BS1, Philipp Tratnig-Frankl, MD1, Marco Visaggio, MD1, Robert W. Redmond, Ph.D.2, Mark A. Randolph, M.A.S.3; Jonathan M. Winograd, M.D.4 1Massachusetts General Hospital, Boston, MA, 2Wellman Center for Photomedicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 3Plastic & Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 4Plastic and Reconstructive Surgery, Plastic & Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA View Poster |
P20. | WITHDRAWN |
5:30 pm - 7:00pm
ASPN Presidential Reception (Invitation Only)
Saturday January 11, 2020
6:30 am - 8:00 am
Continental Breakfast
7:00 am - 8:00 am
AAHS/ASPN/ASRM Instructional Courses
201
202
State of the Art in Neural Interfaces and Prosthetics
Chair: Jason M. Souza, MD
Instructors: Stephen Kemp, MD; R. Glenn Gaston, MD; Grant M. Kleiber, MD
Chair: Jason M. Souza, MD
Instructors: Stephen Kemp, MD; R. Glenn Gaston, MD; Grant M. Kleiber, MD
Recent advances in technology and surgical techniques is revolutionizing the world of prosthetics. This panel of experts will discuss the science behind the technology and describe avenues to improving function and minimizing complications in patients with limb amputations.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Learn the scientific basis for neural interfaces and their impact on advancing the field.
- Develop a treatment algorithm for the patient with an amputation.
- Understand the surgical options and limitations of prosthetics in 2020.
203
Clinical Applications of End to Side Neurorrhaphy: Does It Work and When Should I Use It?
Chair: Jonathan Isaacs, MD
Instructors: Gregory H. Borschel, MD; Kirsty Boyd, MD; Heather L. Baltzer, MD
Chair: Jonathan Isaacs, MD
Instructors: Gregory H. Borschel, MD; Kirsty Boyd, MD; Heather L. Baltzer, MD
End to side nerve transfers, both traditional and supercharge, are gaining popularity among nerve surgeons. This panel will discuss the scientific basis for this nerve transfer technique and how best to apply to patients with nerve injuries. From facial palsy to ulnar neuropathy, the panelists will use a case-based format to highlight opportunities of use.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Discuss the scientific basis for the end to side and reverse end to side coaptations.
- Learn surgical techniquest to maximize effectiveness with these nerve transfers.
- Develop an algorithm for the use of end to side nerve transfers to restore function.
204
Optimizing Functional Restoration Following Limb Loss
Chair: Paul S. Cederna, MD
Instructors: Kyle R. Eberlin, MD; Jason H. Ko, MD; Sheri Feldscher, OT, CHT
Chair: Paul S. Cederna, MD
Instructors: Kyle R. Eberlin, MD; Jason H. Ko, MD; Sheri Feldscher, OT, CHT
We will present the most current approaches to improving prosthetic rehabilitation following limb loss including RPNI and TMR. These discussion will address the indications, surgical approaches, and outcomes following these surgical procedures. In addition, we will discuss the optimal approaches to treat phantom pain, neuroma pain, and CRPS following devastating injuries of the extremities. The goal of the course will be to shed light on all of the approaches available to enhance functional restoration following limb loss.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Discuss how RPNIs and TMR can be used to prevent and treat painful neuromas and phantom pain.
- Identify how RPNIs and TMR can be used for prosthetic control.
- Develop the optimal ways to diagnose a neuroma and how to differentiate it form other pain conditions like CRPS.
205
206
207
208
7:00 am - 8:00 am
Yoga as Spinal Health For Surgeons (On the Beach) (Not for Credit)
All are welcome to attend, no experience needed.
Instructors: Susan E. Mackinnon, MD; Anna Berghoff, MD, PhD
All are welcome to attend, no experience needed.
Instructors: Susan E. Mackinnon, MD; Anna Berghoff, MD, PhD
8:15 am - 8:30 am
AAHS/ASPN/ASRM President's Welcome (Not for Credit)
WP Andrew Lee, MD; AAHS President
Christine Novak, PT, PhD; ASPN President
Lawrence Gottlieb, MD; ASRM President
C. Scott Hultman, MD; PSF President
WP Andrew Lee, MD; AAHS President
Christine Novak, PT, PhD; ASPN President
Lawrence Gottlieb, MD; ASRM President
C. Scott Hultman, MD; PSF President
8:30 am - 9:30 am
AAHS/ASPN/ASRM Combined Panel: When Bad Things Happen to Good People
Moderator: Michael W. Neumeister, MD
Panelists: Nicholas B. Vedder, MD; Allen L. Van Beek, MD; Lawrence Gottlieb, MD
Moderator: Michael W. Neumeister, MD
Panelists: Nicholas B. Vedder, MD; Allen L. Van Beek, MD; Lawrence Gottlieb, MD
9:30 am - 10:00 am
Coffee Break with Exhibitors
10:00 am - 11:00 am
Joint Presidential Keynote Lecture
Editing the Genome: New Hope for Genetic Disorders
Eric N. Olson, MD
Department of Molecular Biology, UT Southwestern
Editing the Genome: New Hope for Genetic Disorders
Eric N. Olson, MD
Department of Molecular Biology, UT Southwestern
Duchenne muscular dystrophy (DMD) is a severe, progressive muscle disease caused by mutations in the Dystrophin gene, which encodes a large intracellular protein that maintains integrity of muscle cell membranes. More than 4,000 DMD mutations have been identified in humans. The majority of mutations are deletions that cluster in hot spots, such that skipping of out-of-frame exons can potentially restore the reading frame of the Dystrophin protein. We have used CRISPR/Cas9 to generate new mouse models of DMD lacking the most prominently deleted Dystrophin exons in humans. To permanently correct DMD by skipping mutant dystrophin exons in postnatal muscle tissue in vivo, we have used adeno-associated virus-9 (AAV9) to deliver CRISPR/Cas9 gene editing components to dystrophic mice, a method we refer to as Myoediting. We have also optimized Myoediting of many types of DMD mutations in muscle cells derived from iPS cells generated from blood samples of DMD patients. In a path toward clinical translation of gene editing for DMD, we have recently restored dystrophin expression of dogs with DMD following systemic administration of gene editing components with AAV9. Opportunities and challenges in the path toward permanent correction of disease-causing mutations responsible for DMD and other monogenic disorders by genomic editing will be discussed.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Discuss principles of gene editing.
- Identify the application of this technology to the correction of DMD.
11:00 am - 12:00 pm
AAHS/ASPN/ASRM Joint Outstanding Paper Session
Moderators: Jaimie T. Shores, MD; Sami Tuffaha, MD; Amy M. Moore, MD; Amir Dorfshar, MD
Moderators: Jaimie T. Shores, MD; Sami Tuffaha, MD; Amy M. Moore, MD; Amir Dorfshar, MD
AAHS 1. Use of vascularized and non-vascularized bone grafting in scaphoid non-union: A prospective randomized control trial Nina Suh, MD, FRCSC1, Stacy Fan, MD2, Ruby Grewal, MD, MSc3; Joy Macdermid, BSc, BScPT, MSc, PhD4 1Roth McFarlane Hand & Upper Limb Centre, London, ON, Canada, 2Western University, London, ON, Canada, 3Hand and Upper Limb Center, University of Western Ontario, London, ON, Canada, 4University of Western Ontario, Roth|MacFarlane Hand and Upper Limb Centre, Canada, London, ON, Canada |
|
11:05 am - 11:10 am | AAHS 2. A Cost-Effectiveness Analysis of Corticosteroid Injections and Open Surgical Release for Trigger Finger Thompson Zhuang, BA, Sandy Wong, BA, Rhonda Aoki, BA, Edric Zeng, BS, Seul Ku, MS; Robin N Kamal, MD Stanford University, Redwood City, CA |
11:10 am - 11:20 am | Discussion |
11:20 am - 11:25 am | ASPN 1. A Nationwide Cohort Study on Treatment and Survival in Patients with Malignant Peripheral Nerve Sheath Tumors. Enrico Martin, MD1, J. Henk Coert, MD, PhD1, Uta E. Flucke, MD PhD1, Willem-Bart M. Slooff, MD1, Thijs van Dalen, MD, PhD1, Michiel A.J. van de Sande, MD, PhD2, Winan J. van Houdt, MD, PhD3, Dirk-Jan Grunhagen, MD, PhD4; Cornelis Verhoef, MD, PhD4 1University Medical Center Utrecht, Utrecht, Netherlands, 2Leiden University Medical Center, Leiden, Netherlands, 3Netherlands Cancer Institute, Amsterdam, Netherlands, 4Erasmus Medical Center, Rotterdam, Netherlands |
11:25 am - 11:30 am | ASPN 2. A Nerve Wrap for Localized FK506 Delivery to Enhance Peripheral Nerve Regeneration Katelyn Chan, B.Eng BioSci1,2, Marina Manoraj, .1, Jenny Cheung, .1, Jennifer J Zhang, MD, PhD1, Konstantin Feinberg, PhD3, Tessa Gordon, PhD1; Gregory H. Borschel, MD, FAAP, FACS1,2,4 1Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, ON, Canada, 2Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ON, Canada, 3Hospital for Sick Children, Toronto, ON, Canada, 4Division of Plastic and Reconstructive Surgery, University of Toronto, Toronto, ON, Canada |
11:30 am - 11:40 am | Discussion |
11:40 am - 11:45 am | ASRM 1. Lymphatic Microsurgical Preventive Healing Approach (LYMPHA) for the Primary Prevention of Lymphedema: A 3-Year Follow-up Matched Cohort Study Adam Levy Weill Cornell Medical College |
11:45 am - 11:50 am | ASRM 2. Sensory Recovery after 1 Year from a Multi-Center Propective Outcomes Registry Arash Momeni Stanford University Medical Center |
11:50 am - 12:00 pm | Discussion |
12:15 pm - 1:15 pm
Lunch Symposium (Not for Credit)
This event is neither sponsored by nor endorsed by the ASPS or ASPN.
This event is neither sponsored by nor endorsed by the ASPS or ASPN.
1:15 pm - 3:00 pm
Scientific Paper Session II
Moderators: Renata Weber, MD; Ayato Hayashi, PhD; Gregory Borschel, MD; Sameer Shah, MD; Alison Snyder-Warwick, MD; Catherine Curtin, MD
Moderators: Renata Weber, MD; Ayato Hayashi, PhD; Gregory Borschel, MD; Sameer Shah, MD; Alison Snyder-Warwick, MD; Catherine Curtin, MD
16. Electrophysiological and Histological Assessment of Composite Regenerative Peripheral Nerve Interface Reinnervation Daniel C Ursu, PhD1, Carrie A Kubiak, MD1, Jana D Moon, BS2, Parag C Patil, MD, PhD1, Theodore A Kung, MD3, Paul S. Cederna, MD4; Stephen WP Kemp, PhD1 1University of Michigan, Ann Arbor, MI, 2Section of Plastic Surgery, University of Michigan, Ann Arbor, MI, 3Section of Plastic & Reconstructive Surgery, University of Michigan, Ann Arbor, MI, 4Department of Surgery, Section of Plastic Surgery, University of Michigan, Ann Arbor, MI |
|
1:18 pm - 1:21 pm | 17. Revascularization Patterns of Nerve Allografts in A Rat Sciatic Nerve Defect Model Mana Saffari, MD1,2, Femke Mathot, MD1,3, Allen T. Bishop, MD4; Alexander Y. Shin, MD5 1Mayo Clinic, Rochester, MN, 2Erasmus MC, Rotterdam, Netherlands, 3Radboud Universiteit, Nijmegen, Netherlands, 4Microvascular Research Laboratory, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, 5Department of Orthopedic Surgery, Microvascular Research Laboratory, Mayo Clinic, Rochester, MN |
1:21 pm - 1:24 pm | 18. Development of Novel Microelectrode Arrays For Intraneural Recording Of Autonomic Neural Activity Daniel C Ursu, PhD1, Ahmad Jiman, BSc.1, Paras Patel, Ph.D1, Botttorff Elizabeth, BSc.1, Elissa Welle, BSc.2, Dongxiao Yan, Ph.D2, Aileen Ouyang, BSc.1, Hannah Parrish, BSc.1, David Ratze, BSc.1, Euisik Yoon, Ph.D1, Tim Bruns, Ph.D1, Cynthia Chestek, Ph.D.1, Paul S Cederna, MD3, John Seymour, Ph.D1; Stephen WP Kemp, PhD1 1University of Michigan, Ann Arbor, MI, 2The University of Michigan, Ann Arbor, MI, 3Plastic Surgery, University of Michigan, Ann Arbor, MI |
1:24 pm - 1:27 pm | 19. Comparison of Amniotic Membrane and Collagen Nerve Wraps Around Sciatic Nerve Reverse Autografts in a Rat Model Erin M. Wolfe, BS1, Sydney A. Mathis, BS1, Natalia de la Oliva Muñoz, PhD2, Daisy Gonzalez, BS1, Steven Ovadia, MD1, Prakash J. Mathew, MD1, Damien D. Pearse, PhD2, Martin Oudega, PhD1; Zubin J. Panthaki, MD1 1University of Miami Miller School of Medicine, Miami, FL, 2University of Miami Miller School of Medicine, Miami Project to Cure Paralysis, Miami, FL |
1:27 pm - 1:30 pm | 20. Wrapping Nerves with Conduits Results in Worse Histologic and Functional Outcomes David M Brogan, MD, MSc1, Christopher Dy, MD MPH FACS1, Jason M Wever, MS2, Dana Rioux-Forker, MD3; Fraser J. Leversedge, MD4 1Washington University School of Medicine, St. Louis, MO, 2Washington University in St. Louis, St. Louis, MO, 3University of Missouri, Columbia, MO, 4Department of Orthopaedic Surgery, DUKE UNIVERSITY, Durham, NC |
1:30 pm - 1:35 pm | Discussion |
1:35 pm - 1:38 pm | 21. Differential Gene Expression Changes Between Motor And Sensory Components of Composite Regenerative Peripheral Nerve Interfaces (C-RPNIs) Carrie A Kubiak, MD1, Daniel C Ursu, PhD1, Maninder Singh, BSE1, Madison Bachman, BSc.1, Paul S Cederna, MD2; Stephen WP Kemp, PhD1 1University of Michigan, Ann Arbor, MI, 2Plastic Surgery, University of Michigan, Ann Arbor, MI |
1:38 pm - 1:41 pm | 22. Conditioning Electrical Stimulation Promotes Sensory And Motor Nerve Regeneration Without Inducing Inflammation Christine A Webber, PhD1, Jenna-Lynn B Senger, MD, PhD1, Leah Acton, BSc2, Ashley W Chan, (BSc)1; K. Ming Chan, MD3 1University of Alberta, Edmonton, AB, Canada, 2Univeristy of Alberta, Edmonton, AB, Canada, 3Division of Physical Medicine & Rehabilitation, University of Alberta, Edmonton, AB, Canada |
1:41 pm - 1:44 pm | 23. Microparticles Releasing GDNF and NGF Improve Axonal Growth and Functional Recovery after Sciatic Nerve Injury in Rats Amgad Hanna, MD1, Daniel Hellenbrand, BS2; Clayton Haldeman, MD2 1Neurosurgery, University of Wisconsin, Madison, WI, 2University of Wisconsin, Madison, WI |
1:44 pm - 1:47 pm | 24. Peripheral Nerve Matrix Hydrogel Promotes Functional Recovery By Modulation Of Macrophage Phenotype Jonathan Cheetham, VetMB, PhD, DACVS1, Megan Bernard, MS, DVM2, Travis Prest, PhD3, Michael Sledziona, BS1, Lorenzo Soletti, Ph.D., MBA, MS4; Bryan Brown, Ph.D.5 1Cornell University, Ithaca, NY, 2Cornell University College of Veterinary Medicine, Ithaca, NY, 3University of Pittsburgh, Pittsburgh, PA, 4Renerva LLC, Pittsburgh, PA, 5McGowan Institute for Regenerative Medicine, Pittsburgh, PA |
1:47 pm - 1:50 pm | 25. Effect of EPO and NGF Co-Transfection On Peripheral Nerve Injury In Vitro Secil Demir, M.Sc1; Abhay Pandit, PhD2 1National University of Ireland, Galway, Galway, Ireland, 2Network of Excellence for Functional Biomaterials, National University of Ireland, Galway, Ireland |
1:50 pm - 1:55pm | Discussion Moderators: Sameer Shah, MD; Alison Snyder-Warwick, MD; Catherine Curtin, MD |
2:00 pm - 2:03 pm | 26. Improving Outcomes of Large Gap Peripheral Nerve Repair Utilizing Photochemical Tissue Bonding (PTB) with Acellular Nerve Allograft (ANA) Marek A. Hansdorfer, M.D.1,2, Jane M. Tsui, M.D.1, Marco Visaggio, M.D.1, Gem G. Runyan, B.S., M.S.1, William S. David, M.D., Ph.D.3, Reiner B. See, M.D.3, Ian L. Valerio, M.D., M.S., M.B.A.4, Mark A. Randolph, M.A.S.1, Jonathan M. Winograd, M.D.1; Robert W. Redmond, Ph.D.5 1Plastic & Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 2Rush University Medical Center, Chicago, IL, 3Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 4Department of Plastic Surgery, Ohio State University Wexner Medical Center, Columbus, OH, 5Wellman Center for Photomedicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA |
2:03 pm - 2:06 pm | 27. Neuronal Plasticity: Daily High Electrical Activity Of Cat Hindlimb Motor Nerves And Silencing Of Their Activity By Spinal Isolation and Deafferentation, Decrease And Increase Their Size, Respectively Tessa Gordon, PhD Neurosurgery/Spine Center, Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, ON, Canada |
2:06 pm - 2:09 pm | 28. The Effect of Crush on Perfusion & Expression of MMP-9 in Rat Sciatic Nerve David M Brogan, MD, MSc1, Jason M Wever, MS2, Martin I Boyer, MD2, Tony Y Lee, BS2, Samuel Achilefu, Ph.D.2; Christopher Dy, MD MPH FACS1 1Washington University School of Medicine, St. Louis, MO, 2Washington University in St. Louis, St. Louis, MO |
2:09 pm - 2:12 pm | 29. Local FK506 Drug Delivery Enhances Nerve Regeneration through Fresh, Unprocessed Nerve Allografts in Rats Kevin Zuo, MD, MASc1, Golsa Shafa, BSc2, Katelyn Chan, B.Eng BioSci3, Jennifer Zhang, B.Sc, MD, PhD4, Kasra Tajdaran, MASc, PhD3, Tessa Gordon, PhD5; Gregory H. Borschel, MD3 1University of Toronto, Toronto, ON, Canada, 2Hospital for Sick Children, Toronto, ON, Canada, 3Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, ON, Canada, 4The Hospital for Sick Children, Toronto, ON, Canada, 5Neurosurgery/Spine Center, Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, ON, Canada |
2:12 pm - 2:15 pm | 30. Regenerative Peripheral Nerve Interface (RPNI) Treatment In Rats Alleviates Chronic Neuropathic Pain Hypersensitivity In A Sexually Dimorphic Manner Shelby Svientek, MD1, Nathan G Lawera, BSE2, Carrie A Kubiak, MD2, Theodore A Kung, MD3, Paul S Cederna, MD4; Stephen WP Kemp, PhD2 1The University of Michigan, Ann Arbor, MI, 2University of Michigan, Ann Arbor, MI, 3Section of Plastic & Reconstructive Surgery, University of Michigan, Ann Arbor, MI, 4Plastic Surgery, University of Michigan, Ann Arbor, MI |
2:15 pm - 2:20 pm | Discussion |
2:20 pm - 2:23 pm | 31. Neurofibromatosis-Associated Malignant Peripheral Nerve Sheath Tumors in Children Have a Worse Prognosis: a Nationwide Cohort Study Enrico Martin, MD1, J. Henk Coert, MD, PhD1, Dirk-Jan Grunhagen, MD, PhD2; Cornelis Verhoef, MD, PhD2 1University Medical Center Utrecht, Utrecht, Netherlands, 2Erasmus Medical Center, Rotterdam, Netherlands |
2:23 pm - 2:26 pm | 32. Ulnar Fascicular Transfer vs. Double Fascicular Transfer for Elbow Flexion After Traumatic Brachial Plexus Injury Kevin T Rezzadeh, BA1, Megan Donnelly, BS2, David Daar, MD3; Jacques Hacquebord, MD4 1New York University School of Medicine, New York, NY, 2NYU School of Medicine, New York, NY, 3New York University Langone Health, New York, NY, 4NYU Langone Medical Center, New York, NY |
2:26 pm - 2:29 pm | 33. Sensorimotor Connections between CN V and CN VII May Provide a Possible Anatomical and Histologic Basis for Synkinetic Buccinator Hypertonicity Ahneesh J Mohanty, BA1, Renee ML Misere, MD2, Arno Lataster, MSc.3, Shai M. Rozen, M.D.4; Stefania Tuinder, MD, PhD3 1University of Texas Southwestern Medical Center Department of Plastic Surgery, Dallas, TX, 2Maastricht University Medical Centre, Maastricht, Netherlands, 3Plastic and Reconstructive surgery, MUMC+ Maastricht University Medical Centre, Maastricht, Netherlands, 4Department of Plastic Surgery, University of Texas Southwestern Medical Center Department of Plastic Surgery, Dallas, TX |
2:29 pm - 2:32 pm | 34. Sciatic Fascicular Transfers to Restore Leg Function in Patients with Acute Flaccid Myelitis Elspeth J R Hill, MD PhD MRes1, Jana Dengler, MD2; Amy M Moore, MD3 1Washington University School of Medicine, St Louis, MO, 2Washington University School of Medicine, St. Louis, MO, 3Department of Surgery, Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, Saint Louis, MO |
2:32 pm - 2:35 pm | 35. Incidence of Nerve Injury After Extremity Trauma in the United States William M Padovano, MPHS1, Jana Dengler, MD1, J. Megan M. Patterson, MD2, Andrew Yee, BS3, Alison K. Snyder-Warwick, MD1, Matthew Wood, PhD1, Amy M Moore, MD3; Susan E Mackinnon, MD1 1Washington University School of Medicine, Saint Louis, MO, 2Department of Orthopaedics, University of North Carolina, Chapel Hill, NC, 3Department of Surgery, Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, Saint Louis, MO |
2:35 pm - 2:40 pm | Discussion |
2:40 pm - 2:43 pm | 36. Pain Characteristics And Interference In Children With Brachial Plexus Birth Injury Kristen M Davidge, MD, MSc, FRCS(C)1, Jenna Belitzky, BSc2, Jennifer Stinson, PhD2, Emily S. Ho, BSc OT Reg (Ont), MEd1; Howard M. Clarke, MD, PhD, FRCS(C)3 1The Hospital for Sick Children, Toronto, ON, Canada, 2Sick Kids Hospital, Toronto, ON, Canada, 3Division of Plastic and Reconstructive Surgery, Hospital for Sick Children, Toronto, ON, Canada |
2:43 pm - 2:46 pm | 37. Targeted Muscle Reinnervation Improves Residual Limb Pain, Phantom Limb Pain, And Limb Function: A Prospective Study Of 35 Amputated Limbs Lauren Mioton, MD1, Gregory A Dumanian, MD2, Nikita Shah, B.A.3, Cecil Qiu, BA3, William J Ertl, MD, PhD4, Benjamin K. Potter, MD5, Jason M Souza, MD, PhD5, Scott M Tintle, MD6, George P. Nanos, MD7, Ian L. Valerio, M.D., M.S., M.B.A.8, Todd Kuiken, MD, PhD9, Jason H Ko, MD10; Sumanas Jordan, MD, PhD3 1Northwestern Memorial Hospital, Chicago, IL, 2Northwestern University, Chicago, IL, 3Northwestern University, Chicago, IL, 4University of Oklahoma Medical Center, Oklahoma City, OK, 5Walter Reed National Military Medical Center, Bethesda, MD, 6Walter Reed National Medical Center, Bethesda, MD, 7Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, MD, 8Department of Plastic Surgery, Ohio State University Wexner Medical Center, Columbus, OH, 9The Shirley Ryan Ability Lab, Chicago, IL, 10Division of Plastic and Reconstructive Surgery, Northwestern University, Chicago, IL |
2:46 pm - 2:49 pm | 38. Monitoring Regrowth of Injured Peripheral Nerves Using Diffusion Tensor Imaging Patrick Assi, M.D., Michael Pridmore, M.A., Salam Kassis, MD, Angel Farinas, M.D., Richard Dortch, PhD; Wesley P. Thayer, M.D., PhD Vanderbilt University Medical Center, Nashville, TN |
2:49 pm - 2:52 pm | 39. Trapezius Muscle Activity in Children and Adolescents with Chronic Obstetrical Brachial Plexus Birth Palsy Jasmine Lin, MS, Alex Lin, BA, Brittany Ward, BS, Haripriya S. Ayyala, MD, Ashley Ignatiuk, MD; Alice Chu, MD Rutgers-New Jersey Medical School, Newark, NJ |
2:52 pm - 2:55 pm | 40. Severe Peripheral Nerve Injury: Barriers to Surgical Intervention Julie C Beveridge, MD, MSc1, Allison Beveridge, BSc2, Rajiv Midha, MD, MSc2, Michael J Morhart, MD, M.Sc3, Jaret Olson, MD3; K. Ming Chan, MD4 1University of Alberta, Edmonton, AB, Canada, 2University of Calgary, Calgary, AB, Canada, 3Division of Plastic and Reconstructive Surgery, University of Alberta, Edmonton, AB, Canada, 4Division of Physical Medicine & Rehabilitation, University of Alberta, Edmonton, AB, Canada |
2:55 pm - 3:00 pm | Discussion |
5:00 pm - 6:00 pm
ASPN Mentorship Reception (Not for Credit)
6:30 pm - 8:00 pm
ASPN/ASRM Welcome Reception (Not for Credit)
Sunday January 12, 2020
6:30 am - 8:00 am
Continental Breakfast
7:00 am - 8:00 am
ASPN Instructional Courses
301
Neurogenic Thoracic Outlet Syndrome: Comprehensive Treatment
Chair: Robert R. Hagan, MD
Instructors: Richard D. Meyer, MD; Erin F. Ransom, MD; Giorgio Pietramaggori, MD
Chair: Robert R. Hagan, MD
Instructors: Richard D. Meyer, MD; Erin F. Ransom, MD; Giorgio Pietramaggori, MD
Neurogenic TOS (nTOS) is a peripheral nerve problem that is poorly understood and may be under-diagnosed. In this course, the expert panelists will discuss the diagnostic criteria, as well as, the indications, risks and benefits of surgical intervention. They will also present a comprehensive approach to the treatment of this peripheral nerve pathology.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Define the diagnostic criteria for nTOS
- Develop a stratified treatment algorithm for the diagnosis of nTOS.
- Discuss specifics of surgical approaches for nTOS.
302
Comprehensive Management of Headaches
Chair: Ziv M. Peled, MD
Instructors: Ivica Ducic MD; Sandra Saja Scherer, MD; Thomas Tung, MD; Giorgio Pietramaggiori, MD
Chair: Ziv M. Peled, MD
Instructors: Ivica Ducic MD; Sandra Saja Scherer, MD; Thomas Tung, MD; Giorgio Pietramaggiori, MD
The pharmacological and surgical management of headaches has evolved over the last few decades. This course will discuss the indications, risks and benefits of medical and surgical treatment of chronic headaches specifically addressing the three main locations for intervention: occipital, temporal and frontal regions. Specific surgical approaches will also be highlighted and described.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Identify the common sites for effective headache management.
- Discuss the medical and surgical management options for treatment of headaches.
- Develop a treatment algorithm for the management of chronic headaches.
303
Rehabilitation of Challenging Nerve Transfers: Optimizing Your Results
Chair: Douglas Ross, MD, FRCSC
Instructors: Juliana Larocerie-Salgado; OT; Ming Chan, MD, FRCPC
Chair: Douglas Ross, MD, FRCSC
Instructors: Juliana Larocerie-Salgado; OT; Ming Chan, MD, FRCPC
Nerve transfers have assumed an important role in peripheral nerve reconstruction. Buoyed by the excellent results of transfers to restore elbow flexion, a large number of other transfers have been described and are being used. However, results of many of these transfers are less predictable relative to single or double fascicular transfers for elbow flexion. Suboptimal results may be the result of the challenge of cortical re-learning in non-intuitive or less synergistic transfers.This course will briefly describe the surgery of nerve transfers with challenging re-learning including lower extremity, AIN to ulnar, supinator branch to PIN as well as others. A description of the use of early post-operative electromyography to detect reinnervation will be presented. Integrated with this is the use of EMG/biofeedback, donor activation techniques and other therapy modalities to maximize outcomes of these nerve transfers.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Discuss the differences between easily re-learned transfers (eg for elbow flexion) and less intuitive ones.
- Identify the usefulness of post-operative electromyography to detect early return of function.
- Learn to maximize outcomes of challenging nerve transfers using directed therapy techniques
304
Upper Extremity Reconstruction for Tetraplegia
Chair: Catherine Curtin, MD
Instructors: Justin M. Brown, MD; Ida Fox MD; Emily Krauss, MD
Chair: Catherine Curtin, MD
Instructors: Justin M. Brown, MD; Ida Fox MD; Emily Krauss, MD
The surgical treatment of patients with tetraplegia has gained popularity with advances in surgical techniques. This panel of experts will discuss the indications, controversies and opportunities to restore hand function to this patient population. This will include discussion of both nerve and tendon procedures and pre and post operative care techniques.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Discuss the nuances of patient selection for nerve vs tendon transfers.
- Develop an algorithm of surgical treatment.
- Learn postoperative care regimens designed for maximizing success and mitigating complications.
305
Upper & Lower Extremity Joint Denervation Techniques
Chair: A. Lee Dellon, MD
Instructors: Andreas Gohritz, MD; Shao-Min Shi, MD; Sami Tuffaha, MD
Chair: A. Lee Dellon, MD
Instructors: Andreas Gohritz, MD; Shao-Min Shi, MD; Sami Tuffaha, MD
Relief of joint pain with joint preservation/salvage has been demonstrated in both the upper and lower extremities by the technique of partial joint denervation. Anatomy of joint innervation and techniques to accomplish joint denervation will be reviewed along with current evidence basis for success. Importance of pre-operative nerve blocks is emphasized.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Identify innervation of upper & lower extremity joints.
- Discuss relationship of pre-operative nerve block to post-operative success.
- Discuss operative approaches to upper & lower extremity joint denervation.
7:00 am - 8:00 am
Yoga as Spinal Health For Surgeons (On the Beach) (Not for Credit)
All are welcome to attend, no experience needed.
Instructors: Susan E. Mackinnon, MD; Anna Berghoff, MD, PhD
All are welcome to attend, no experience needed.
Instructors: Susan E. Mackinnon, MD; Anna Berghoff, MD, PhD
8:10 am - 9:10 am
ASPN/ASRM Combined Panel I: Difficult Cases of Facial Paralysis - Opportunities and Innovations
Moderator: Shai Rozen, MD
Panelists: Richard J. Redett, MD; Ronald M. Zuker, MD; Alison K. Snyder-Warwick, MD
Moderator: Shai Rozen, MD
Panelists: Richard J. Redett, MD; Ronald M. Zuker, MD; Alison K. Snyder-Warwick, MD
Facial palsy surgeons frequently encounter diagnostic and treatment dilemmas which are not often discussed in depth since we still lack reliable and consistent approaches and solutions. In this course, experts will discuss both failed and successful experiences to highlight opportunities and innovations to improve outcomes in these challenging patients.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Recognize ways to maximize results despite challenging cases.
- Develop a treatment algorithm for facial paralysis.
9:15 am - 10:15 am
ASPN/ASRM Combined Panel II: Gender Affirmation Surgery: Reconstruction Challenges of Function and Sensation
Moderator: Rachel Bluebond-Langner, MD
Panelists: Loren S. Schechter, MD; Rachel Bluebond-Langner, MD; Andrew J. Watt, MD
Moderator: Rachel Bluebond-Langner, MD
Panelists: Loren S. Schechter, MD; Rachel Bluebond-Langner, MD; Andrew J. Watt, MD
Gender confirming surgery (GCS) is one of the fastest growing areas of reconstructive surgery and encompasses facial feminization, chest/breast recontouring, and genital sex confirmation surgery. Specifically, reconstructed male or female genitalia cannot fully emulate the anatomy and the functional capacity of the vulva/vagina or of the penis. In addition, there is a continuing debate on the efficacy and medical necessity of these procedures. This panel will focus on the functional and patient-reported outcomes of genital gender confirming surgery. The compromises involved in surgical genital transformation and the consequences in terms of sensation and function will be emphasized. Patient reported outcome studies will be summarized. Illustrative and challenging cases will be presented for discussion with the panelists and audience.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Discuss the basic strategies used to preserve or restore erogenous sensation for patients undergoing both FtM and MtF genital GCS.
- Identify the expected sensory and functional outcomes of vaginoplasty, phalloplasty, and metoidioplasty.
- Discuss the limitations of current genital GCS procedures in restoring sensory and sexual functioning, especially erectile function in transmales undergoing phalloplasty.
- Discuss the available patient reported outcome data supporting medical necessity of these procedures.
10:15 am - 10:45 am
Coffee Break with Exhibitors
10:45 am - 11:30 am
ASPN/ASRM Combined Speaker (Not for Credit)
Plastic Surgery and Space: Tales of collaboration with NASA
Andrew J. Feustel, PhD
Plastic Surgery and Space: Tales of collaboration with NASA
Andrew J. Feustel, PhD
11:30 am - 12:15 pm
ASPN Presidential Address
Introduction: Gregory H. Borschel, MD
Make Your Dash Count
Christine Novak, PT, PhD; ASPN President
Introduction: Gregory H. Borschel, MD
Make Your Dash Count
Christine Novak, PT, PhD; ASPN President
12:15 pm - 12:30 pm
Presentation of Resident Awards and Grant Recipients
12:30 pm - 1:30 pm
Business Meeting (Working Lunch)