New Surgery Spotlight highlights mandible reconstruction

IN THE NEW SURGERY SPOTLIGHT, Henry C. Vasconez MD, plans the harvest of a fibula osteocutaneous free flap to perform mandible reconstruction on a 21-year-old male with severe craniofacial microsomia and other congenital anomalies. In addition, the patient will also undergo a sagittal split mandibular osteotomy on the contralateral side, as well as a rotational LeFort 1 maxillary advancement in order to obtain improved symmetry and occlusion.

Dr. Henry Vasconez is a board-certified plastic surgeon in Lexington, Kentucky. In addition to private practice, he serves as a professor at the University of Kentucky. His interests include craniofacial surgery, pediatric plastic surgery, breast reconstruction and aesthetic surgery.

Past Surgery Spotlight programs remain freely available to view on PSEN. Hard copies of these programs can also be purchased from the PSEN DVD Library. Surgery Spotlight is a video-based product line produced by the Plastic Surgery Education Network (PSEN).

New surgical videos feature hand and reconstructive procedures

CHECK OUT THE NEW procedure videos posted on PSEN in January:

Type 1 and Type 2 Duplicated Thumb Reconstruction 

In these congenital hand reconstructions, Dr. Kevin Chung performs thumb reconstructions on patients with two types of duplicated thumbs. Watch as he assesses which thumb to remove to preserve the best function of the ligaments of the thumb.


Management of Chronic Calf Wound

In this video, Dr. Paul Cederna treats a chronic calf wound in a 61-year-old patient with many health issues not limited to morbid obesity, diabetes and lymphedema. The calf wound had been managed by her primary care provider for many years with a variety of treatments. After three years of treatment, she presents to plastic surgery with a non-healing wound extending to the muscular fascia. Watch as Dr. Cederna completes debridement of wound and discusses the various stages of management of chronic wounds.


Treatment of Bilateral Pressure Sore

In this video, Dr. Paul Cederna performs treatment of a contralateral pressure sore in a parapalegic patient who has received previous reconstruction of a left-sided bilateral pressure sore. Dr. Cederna has previously performed an aggressive debridement of the contralateral wound with a six-week course of antibiotics. Watch as he performs a second aggressive debridement of bone to assess residual infection of the bone and determine further treatment of the pressure sore.

Last Surgery Spotlight of 2013 now available on PSEN

THE DECEMBER SURGERY SPOTLIGHT features Dr. Rod Rohrich performing a Secondary Facial Rejuvenation procedure on a 62-year-old Caucasian woman. The patient presents with significant loss of fat in her face, a tight skin envelope, and some laxity in her neck. Dr. Rohrich’s technique involves a lift-and-fill approach to correct facelift deformities:removing and relocating existing scars; releasing the malpositioned deep layers; refilling the depressed temporal areas and the deep malar fat compartments with harvested fat; and re-draping and re-shaping the deep layers and reshaping the final skin layers. Watch the full-length surgery on PSEN now. 

Dr. Rohrich is a Professor and Chairman of the Department of Plastic Surgery at The University of Texas Southwestern Medical Center. He is a past president of ASPS and former director of the American Board of Plastic Surgery. Dr. Rohrich currently serves as the Editor-in-Chief of the journal Plastic and Reconstructive Surgery, as well as an editor for Selected Readings in Plastic Surgery. In the past ten years, he has been recognized many times as a top doctor in America and Dallas. Dr. Rohrich has a clinical practice at Zale Lipshy University Hospital/UT Southwestern Medical Center and the Tom Landry Sports Center/Baylor University Medical Center in Dallas, Texas.

Past Surgery Spotlight programs remain freely available to view on PSEN. Hard copies of these programs can also be purchased from the PSEN DVD LibrarySurgery Spotlight is a video-based product line produced by the Plastic Surgery Education Network (PSEN).

New Surgery Spotlight: DIEP Flap Breast Reconstruction

Take a look at August’s Surgery Spotlight featuring Maurice Nahabedian, MD performing a delayed left breast reconstruction using a deep inferior epigastric perforator (DIEP) flap reconstruction on a 43-year-old woman who has had prior radiation therapy. DIEP flaps are frequently chosen for autologous reconstruction because they can be harvested with no muscle and minimal fascial sacrifice. In this video, observe how Dr. Nahabedian marks the surgical site and begins his dissection. Once the internal mammary artery and vein are exposed, and the DIEP flap has been elevated watch Dr. Nahabedian’s microsurgery technique as the new breast is reconstructed. The video is now streaming for free on PSEN, or can be purchased as part of an online course to receive CME credit.

Dr. Nahabedian‘s primary areas of interest are breast reconstruction with perforator flaps that include DIEP, SGAP, and SIEA flaps. He has performed over 1,000 breast reconstructions using flaps, as well as over 600 reconstructions using implants. He has also conducted numerous research projects on breast reconstruction, breast reduction and microsurgery, which have been published and presented in journals and at meetings around the world. Dr. Nahabedian is a Professor of Plastic Surgery at Georgetown University and Associate Professor of Plastic Surgery at John Hopkins University. He is certified by the American Board of Plastic Surgery and is a member of the American Society of Plastic Surgeons, American College of Surgeons, American Association of Plastic Surgeons, and the American Society for Reconstructive Microsurgery.

Past Surgery Spotlight programs remain freely available to view on PSEN. Hard copies of these programs can also be purchased from the PSEN DVD Library. Surgery Spotlight is a video-based product line produced by the Plastic Surgery Education Network (PSEN).

PSEN captures AAHS ASPN ASRM Annual Meetings

Last month, PSEN was a part of the annual meetings of our founding partners, the American Association for Hand Surgery, American Society for Peripheral Nerve and American Society for Reconstructive Microsurgery on January 9-15, 2013 in Naples, Florida. In addition to providing demos of the website in the meeting exhibit hall, PSEN’s video news crew interviewed a number of attendees about the scientific highlights of the clinical programs, as seen in the video above. PSEN also recorded over 30 hours of panels and lecture presentations from the meetings. A selection is now available to view in the PSEN presentations area. More lecture recordings from the meetings will be posted over the next couple of weeks. Some of the presentation topics include:

  • Tissue Engineering and Regenerative Medicine
  • Atypical Microsurgical Indications
  • Refinements in Toe Transfer
  • DRUJ Instability
  • Graded Motor Imagery (GMI)

Members of AAHS, ASPN or ASRM have free access to PSEN through their society membership. Your username is always your email address — if you don’t know or remember your password, just click the forgot my password link on the PSEN Login page or contact PSEN at