Our Summary

The study explores how Facial Plastic and Reconstructive Surgery (FPRS) surgeons in the U.S. are trained in microvascular reconstructive techniques, a type of surgery involving the transfer of small pieces of tissue from one part of the body to another. The researchers sent out a survey to recent graduates of FPRS programs that offer substantial training in this field.

Results showed that most of the respondents performed between 20-100 cases of such microvascular surgeries during their training. Most of them continued to perform these surgeries after completing their training, with an average of 33 cases per year. The types of tissues they used for reconstruction were similar to what they were trained on. In their practice, they were mainly assisted by residents and fellows, while some worked with a partner trained in microsurgery, surgical assistants, or performed the procedures alone.

The study also found that those who started working in private practices were less likely to stay in the same practice, while those who joined academic practices mostly stayed at their first job after finishing their fellowship.

This research contradicts the belief that many surgeons stop performing these complex surgeries due to burnout. The study offers a detailed look at the training and practice patterns of these surgeons, showing a significant commitment to microvascular surgery.

FAQs

  1. How are Facial Plastic and Reconstructive Surgery (FPRS) surgeons in the U.S. trained in microvascular reconstructive techniques?
  2. What is the average number of microvascular surgeries performed by FPRS surgeons per year?
  3. Does the study suggest that surgeons stop performing complex surgeries due to burnout?

Doctor’s Tip

A helpful tip a doctor might tell a patient about reconstructive surgery is to follow post-operative instructions carefully to ensure proper healing and optimal results. This may include keeping the surgical site clean and avoiding certain activities that could disrupt the healing process. Additionally, maintaining a healthy lifestyle with proper nutrition and hydration can also aid in the recovery process. Communication with your healthcare provider is key, so be sure to ask any questions or voice any concerns you may have throughout the entire process.

Suitable For

Patients who are typically recommended reconstructive surgery include those who have suffered from traumatic injuries, congenital anomalies, cancer, or other medical conditions that have caused structural or functional abnormalities. These surgeries aim to improve the appearance, restore function, and enhance quality of life for these patients. Examples of patients who may benefit from reconstructive surgery include those with facial fractures, cleft lip and palate, skin cancer, breast reconstruction after mastectomy, and hand injuries, among others.

Timeline

Before reconstructive surgery:

  1. Patient consults with a plastic surgeon to discuss their goals and concerns.
  2. Surgeon evaluates the patient’s medical history and physical condition to determine if they are a good candidate for surgery.
  3. Pre-operative tests and evaluations are conducted to ensure the patient is healthy enough for surgery.
  4. Surgical plan is developed, including the type of reconstruction needed and the specific techniques to be used.
  5. Patient receives instructions on pre-operative care, including diet, medication, and lifestyle changes.

After reconstructive surgery:

  1. Patient undergoes the surgery, which may involve the transfer of tissue from one part of the body to another.
  2. Recovery period begins, with post-operative care including pain management, wound care, and follow-up appointments.
  3. Patient may experience swelling, bruising, and discomfort in the days and weeks following surgery.
  4. Surgical site heals over time, with scars gradually fading and the reconstructed area taking on a more natural appearance.
  5. Patient attends follow-up appointments to monitor healing progress and address any concerns or complications.
  6. Patient may undergo additional procedures or treatments to further enhance the results of the reconstruction.
  7. Patient enjoys improved function and aesthetics in the reconstructed area, leading to increased confidence and quality of life.

What to Ask Your Doctor

Some questions a patient should ask their doctor about reconstructive surgery may include:

  1. What specific training and experience do you have in performing reconstructive surgery, particularly microvascular techniques?
  2. How many cases of reconstructive surgery do you perform annually?
  3. What types of tissues do you typically use for reconstruction?
  4. Who will be assisting you during the surgery?
  5. What are the potential risks and complications associated with the reconstructive surgery?
  6. What is the expected recovery time and outcome for this type of surgery?
  7. Are there alternative treatment options available for my condition?
  8. Can you provide before and after photos of previous reconstructive surgery patients?
  9. What is the cost of the surgery and will my insurance cover it?
  10. How long have you been practicing reconstructive surgery, and what is your success rate with these procedures?

Reference

Authors: Bennion DM, Dziegielewski PT, Boyce BJ, Ducic Y, Sawhney R. Journal: J Otolaryngol Head Neck Surg. 2019 May 9;48(1):19. doi: 10.1186/s40463-019-0342-y. PMID: 31072392