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2014 Program & Abstracts

The Plastics Menagerie

Preliminary Program | Posters
*Resident Award Competition

THURSDAY, SEPTEMBER 11, 2014
4:00 pm - 6:00 pm Board Meeting
 
FRIDAY, SEPTEMBER 12, 2014
6:30 am - 5:30 pm Registration
7:00 am - 8:00 am Continental Breakfast
7:00 am - 8:00 am Maintenance of Certification Courses
MOC: Facial Skin Malignancy
Deepak Narayan, MD

MOC: Lower Extremity Acute Trauma
Ian Valerio, MD

8:00 am - 8:15 am Welcome Remarks
John Girotto, MD & Jeffrey Gusenoff, MD
8:15 am - 9:15 am Panel 1: Beauty and the Beast: Difficult Patients, Great Results
Moderator: Jeffrey Gusenoff, MD
Panelists: Mark Sultan, MD
Alexander Moya, MD
Richard Zienowicz, MD
9:15 am - 10:15 am Eugene Courtiss Memorial Lecture
Title: Facial Rejuvenation: It's Not Just The Lift
Mark A. Codner, MD
0:15 am - 10:45 am Coffee Break: Pictionary - Residents Versus Young Attendings
Moderator: Peter Taub, MD
  ABPS Update
R. Barrett Noone, MD

ASPS Update
Robert X. Murphy, Jr., MD

11:00 am - 12:00 pm Session 1A: (Concurrent Abstract Session) Breast
Moderator: Jeffrey Ascherman, MD
*1. Tamoxifen (Selective Estrogen-receptor Modulators) and Aromatase Inhibitors as Potential Perioperative Thrombotic Risk Factors in Free Flap Breast Reconstruction
Michael N. Mirzabeigi, MD, Jonas A. Nelson, MD, Stephen J. Kovach, MD, Liza C. Wu, MD, Joseph M. Serletti, MD, Suhail Kanchwala, MD.
University of Pennsylvania, Philadelphia, PA, USA.
2. Is Vicryl Mesh Really a Safe Alternative to Acellular Dermis in Tissue Expander-based Breast Reconstruction?
Stacy Henderson, M.D., Brett Michelotti, M.D., Susie Sun, M.D., Cathy R. Henry, M.D., T. Shane Johnson, M.D., Dino Ravnic, D.O., Donald Mackay, M.D., John Potochny, M.D..
Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
3. A 10 Year Review of Racial Disparities in 1387 Breast Reconstruction Patients
Dev Vibhakar, D.O., Hamid Abdollahi, Stefanos Boukovalas, MD, Richard Bleicher, MD, Eric I. Chang, MD.
Fox Chase Cancer Center, Philadelphia, PA, USA.

Discussion - 5 minutes
4. Transverse Infraclavicular Thoracoacromial (TIC TAC): A New Approach to a Rarely Used Recipient in Microsurgical Breast Reconstruction
Devinder P. Singh, MD, Jeffrey Zapora, MD, Luther Hamilton Holton, III, MD, Susan Kesmodel, MD, Alexander F. Au, MD, Jens Berli, MD, Owen Johnson, MD, Vasilios D. Mavrophilipos, BA, John Maddox, MD, E. Bryan Buckingham, MD, Karan Chopra, MD, Lindsay James, BA, Rachel Bluebond-Langner, MD.
University of Maryland Medical Center, Baltimore, MD, USA.
*5. A 10-year Review of Acellular Dermal Matrix vs. Total Muscle Coverage for Implant-based Breast Reconstruction
Eric Maiorino, M.D. 1, J. Simon Ivey, M.D. 1, Hamid Abdollahi, M.D. 1, Sameer A. Patel, M.D. 2, Neal S. Topham, M.D. 2, Eric I. Chang, M.D. 2.
1Temple University Hospital, Philadelphia, PA, USA, 2Fox Chase Cancer Center, Philadelphia, PA, USA.
*6. Reduction Mammoplasty: Is There a Difference Between Specialty Performing Procedure? An Examination of 6,239 Procedures
Ian C. Hoppe, MD, Anthony M. Kordahi, BA, Edward S. Lee, MD.
New Jersey Medical School - Rutgers University, Newark, NJ, USA.

Discussion - 5 minutes
*7. Readability Assessment of Online Patient Education Resources for Breast Reconstruction: Lost in Translation?
Lilian C. Azih, MD, Anne R. Tong, MBBS, Ivy L. Chippendale, BA, Laura B. Gavin, RNP, Pablo A. Baltodano, MD, Anas M. Abdullah, MBBS, Stella M. Seal, MLS, Carisa M. Cooney, MPH, Gedge D. Rosson, MD.
Johns Hopkins University School of Medicine, Baltimore, MD, USA.
8. A Classification System for Fat Necrosis in Autologous Breast Reconstruction
Winnie T. Tong, MD 1, Andrea Bazakas, MS 2, Eric G. Halvorson, MD 3.
1MD Anderson Cancer Center, Houston, TX, USA, 2University of North Carolina, Chapel Hill, NC, USA, 3Harvard Medical School, Boston, MA, USA.

Discussion - 5 minutes
11:00 am - 12:00 pm Session 1B: (Concurrent Abstract Session) Trunk/Extremity
Moderator: Stephen Kovach, III, MD
9. Management of Extended Sacral and Perineal Defects: When Standard Flap Options are Not Enough
Jamie A. Schwartz, MD 1, Joseph H. Dayan, MD 2, Mark Smith, MD 2, Mark Sultan, MD 1, William Samson, MD 1.
1Mt Sinai Roosevelt Hospital, New York, NY, USA, 2Mt. Sinai Beth Israel Medical Center, New York, NY, USA.
*10. A Cost-utility Assessment of Mesh Selection in Clean and Clean-Contaminated Ventral Hernia Repair (VHR)
John P. Fischer 1, Naveen M. Krishnan, MD 2, Marten N. Basta, BA 1, Jason D. Wink, MD 1, Joseph M. Serletti, MD 1, Stephen J. Kovach, III, MD 1.
1University of Pennsylvania, Philadelphia, PA, USA, 2Georgetown University, Washington, DC, USA.
11. Lymphaticovenous Bypass Improves Lymphedema Mediated Tissue Fibrosis
Swapna Ghanta, MD 1, Walter J. Joseph, III, BS 1, Jeremy S. Torrisi, BA 1, Daniel A. Cuzzone, MD 1, Nicholas J. Albano, BS 1, Ira L. Savetsky, MD 1, Jason C. Gardenier 1, David W. Chang, MD 2, Babak J. Mehrara, MD 1.
1Memorial Sloan Kettering Cancer Center, New York, NY, USA, 2University of Chicago, Chicago, IL, USA.

Discussion - 5 minutes
*12. Striving for Normalcy after Lower Extremity Reconstruction: The Role of Secondary AestheticRrefinements
Jonas A. Nelson, MD 1, John P. Fischer, MD 1, Nicholas Haddock, MD 2, Duncan MacKay, BA 1, Jason Wink, MD 1, L. Scott Levin, MD 1, Stephen J. Kovach, III, MD 1.
1University of Pennsylvania, Philadelphia, PA, USA, 2University of Texas Southwestern, Dallas, TX, USA.
*13. Posterior Component Separation with Transversus Abdominis Release: Technique and Utility in Challenging Abdominal Wall Reconstruction Cases
Christine M. Jones, MD, John D. Potochny, MD, Eric M. Pauli, MD.
Penn State Hershey Medical Center, Hershey, PA, USA.
*14. Predictors of Flap and Limb Salvage Failure in Civilian and War Trauma
Jennifer Sabino 1, Donald J. Lucas, MD 1, Raja Mohan, MD 2, Devinder P. Singh, MD 2, Eduardo D. Rodriguez, MD, DDS 2, Rachel Bluebond-Langner, MD 2, Ian Valerio, MD 1.
1Walter Reed National Military Medical Center, Bethesda, MD, USA, 2University of Maryland Medical Center, Baltimore, MD, USA.

Discussion - 5 minutes
15. The Elucidation of Anatomic Landmarks for Botulinum Toxin Injection to the Upper and Lower Extremities for Contracture and Spasticity
Kristen Aliano, MD, Jessica Korsh, MS, Steve Stavrides, R-PAC, Thomas Davenport, MD FACS.
Long Island PLastic Surgical Group, Garden City, NY, USA.
*16. The Utility of High Resolution Magnetic Resonance Angiography (MRA) using Gadofosveset Trisodium in Vascularized Lymph Node Transfer
Mark L. Smith, M.D., Erez Dayan, M.D., Alexander Kagen, M.D., Joseph H. Dayan, M.D..
Beth Israel Medical Center, New York, NY, USA.

Discussion - 5 minutes
12:00 pm - 1:00 pm Session 2A (Concurrent Abstract Session): Cosmetic
Moderator: Alan Matarasso, MD
17. Maximizing Rhinoplasty with Facial Fat Grafting
Cristina Dracea, MD, Kristen Aliano, MD, Frederick Lukash, MD.
Long Island Plastic Surgical Group, Garden City, NY, USA.
18. The Impact of Demographic Differences on Perceived Improvement Following Rhinoplasty
Jonathan A. Schwitzer, BA 1, Amie M. Scott, MPH 1, Kenneth L. Fan, MD 2, Sarah R. Sher, MD 2, Andrea L. Pusic, MD 1, Stephen B. Baker, MD 2.
1Memorial Sloan-Kettering Cancer Center, New York, NY, USA, 2Georgetown University Hospital, Washington, DC, USA.
19. Quantified Facial Soft Tissue Strain in Animation Measured by Real-Time Dynamic Three-Dimensional Imaging
Bianca C. Chin, MD, Vivian M. Hsu, MD, Ari M. Wes, BA, Joshua Cornman-Homonoff, BS, Ivona Percec, MD, PhD.
University of Pennsylvania, Philadelphia, PA, USA.

Discussion - 5 minutes
*20. Vaginal Labiaplasty: A Systematic Review, Simplified Classification System, and Standardized Practice Guidelines
Saba Motakef, BS 1, Jose Rodriguez-Feliz, MD 2, Michael T. Chung, 3, Michael Ingargiola, MD 4, Victor Wong, MD 5, Ashit Patel, MBChB 2.
1Albany Medical College, Albany, NY, USA, 2Albany Medical Center, Division of Plastic Surgery, Albany, NY, USA, 3Duke University Department of Surgery, Division of Plastic and Reconstructive Surgery, Durham, NC, USA, 4Mount Sinai Department of Surgery, Division of Plastic and Reconstructive Surgery, New York, NY, USA, 5Johns Hopkins University, Department of Plastic and Reconstructive Surgery, Baltimore, MD, USA.
21. Citation Analysis of Articles in Rhinoplasty
Mark K. Markarian, MD, MSPH, Ahmed Ibrahim, M.D., Victor Chien, MD, Kuylhee Kim, MD, Pieter Koolen, MD, Bernard T. Lee, MD, MBA, Samuel J. Lin, MD.
Harvard Medical School/Beth Israel Deaconess Medical Center, Boston, MA, USA.
22. 2 Year Experience of the Treatment of Cellulite using an Nd:YAG 1440nm Pulsed Laser.
Kenneth A. Marshall, MD.
Harvard Medical School, Mount Auburn Hospital, Cambridge, MA, USA.

Discussion - 5 minutes
23. Complications of Cosmetic Surgical Procedures in Men
Maksym V. Yezhelyev, MD PhD 1, Varun Gupta, MD MPH 1, Alexander J. Kaminsky, MD MPH 2, Julian Winocour, MD 1, R. Bruce Shack, MD 1, James C. Grotting, MD 3, Kent K. Higdon, MD 1.
1Vanderbilt University, Nashville, TN, USA, 2Inova Fairfax Hospital, Falls Church, VA, USA, 3University of Alabama at Birmingham, Birmingham, AL, USA.
24. Measuring Quality of Life in Facial Aesthetic Patients: Development and Validation of the FACE-Q Psychological Well-being, Social Function, Early Life Impact, and Satisfaction with Outcome and Decision Scales
Jonathan A. Schwitzer, BA 1, Anne F. Klassen, DPhil 2, Stefan J. Cano, PhD 3, Andrea L. Pusic, MD 1.
1Memorial Sloan-Kettering Cancer Center, New York, NY, USA, 2McMaster University, Hamilton, ON, Canada, 3Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, United Kingdom.

Discussion - 5 minutes
12:00 pm - 1:00 pm Session 2B (Concurrent Abstract Session): Research
Moderator: Samuel Lin, MD
*25. Use of Antibiotic Impregnated Absorbable Beads and Tissue Coverage of Complicated Wounds
Terris L. White, MD 1, Alfred T. Culliford, IV, MD 1, Martin Zomaya, MD 1, Gary Freed, MD 2, Christopher P. Demas, MD 3.
1Staten Island University Hospital, Staten Island, NY, USA, 2Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA, 3University of New Mexico, Albuquerque, NM, USA.
*26. Lymph Node Transfer Restores Immune Responses in a Mouse Model of Lymphedema
Walter J. Joseph, III, B.S., Daniel A. Cuzzone, M.D., Seth Z. Aschen, B.S., Jason C. Gardenier, M.D., Swapna Ghanta, M.D., Nicholas J. Albano, B.S., Ira L. Savetsky, M.D., Jeremy S. Torrisi, B.A., Babak J. Mehrara, M.D.
Memorial Sloan Kettering Cancer Center, New York, NY, USA.
*27. Enrichment of Suppressive Lymphocytes via Biomimetic Constructs Promotes Immune Tolerance in Vascularized Composite Allotransplantation
James D. Fisher, BS , Riccardo Schweizer, MD , Jignesh Unadkat, MD , Chiaki Komatsu, MD , Sinan Oksuz, MD , Mario Solari, MD , Vijay Gorantla, MD , Steven Little, PhD .
University of Pittsburgh, Pittsburgh, PA, USA.

Discussion - 5 minutes
*28. 3D Collagen Microsphere Scaffold (MSS): Innovative Promotion of Cellular Invasion and Neovascularization
Ope A. Asanbe, MD 1, Rachel C. Hooper, MD 1, Tarek Elshazly, BS 1, Hector L. Osoria, BS 1, Adam Jacoby, BA 1, John Morgan, BS 2, Jeremiah Joyce, BA 1, Ross Weinreb 1, Abraham Stroock, PhD 2, Jason A. Spector, MD, FACS 1.
1Weill Cornell Medical College, New York, NY, USA, 2Cornell University, Ithaca, NY, USA.
*29. The Role of Molecular Biomarkers in the Onset of Normal Aging in Primary Human Adipose Tissue
Sean Devitt, MD, Raia Z. Dierov, MS, Joshua Corman-Homonoff, BA, Cynthia M. Carter, BS, Ivona Percec, MD, PhD.
University of Pennsylvania, Philadelphia, PA, USA.
*30. An Algorithm for Building an Electronic Database
Wess A. Cohen, M.D., Lloyd B. Gayle, M.D., Nima P. Patel, M.D..
Maimonides Medical Center, Brooklyn, NY, USA.

Discussion - 5 minutes
31. The miRNA expression profile of human lymphatic malformations
Andre Alcon, B.A., Stephanie Douglas, B.A., Deepak Narayan, M.D.
Yale University School of Medicine, New Haven, CT, USA.
*32. Prevention of Seroma and Post-Operative Wound Complications Using Negative Pressure Wound Therapy Devices Following Panniculectomy in Massive-Weight Loss Patients
Peter N. Broer, M.D. 1, Mark Walker 2, Katie Weichman 3, Sebastian Voigt 1, Stephanie Kwei 2, Grant Thomson 2.
1Bogenhausen Technical Teaching Hospital Munich, München, Germany, 2Yale School of Medicine, New Haven, CT, USA, 3Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Discussion - 5 minutes
1:00 pm - 2:00 pm Luncheon
2:00 pm - 3:00 pm Panel 2: The Lion, The Witch, and the Wardrobe: Challenging Problems in Lymphedema, Burns, and Wounds
Moderator: Leigh Ann Price, MD
Panelists: Joseph Dayan, MD
Derek Bell, MD
Harvey Himel, MD
3:00 pm - 4:00 pm Session 3A (Concurrent Abstract Session): Community Plastic Surgery
Moderator: Rachel Sullivan, MD
33. Total Body Lift Surgery in the Muscular Male
Lino F. Miele, MD, MS, Dennis J. Hurwitz, MD, FACS.
University of Pittsburgh, Pittsburgh, PA, USA.
34. Facial Volumization Via the Intraoral Route: A Report of Over 300 Cases
Vincent DiGregorio, MD, Syed Sayeed, MD, Cristina Dracea, MD, Jessica Korsh, MS, Kristen Aliano, MD.
Long Island Plastic Surgical Group, Garden City, NY, USA.
35. Utility of Dermo-Fascial Flaps for Immediate Device Breast Reconstruction
Philip A. Falcone, MD, FACS.
Syracuse, NY, USA.

Discussion - 5 minutes
*36. Are Nurse Injectors the New Norm?
Kevin H. Small, MD, Kathleen Kelly, B.A., Henry Spinelli, M.D.
New York Presbyterian Hospital, NYC, NY, USA.
37. Treatment of Radiation-Induced Pelvic Cavity Injuries With Hyperbaric Oxygenation Therapy
Katelin O'Brien, Jessica Korsh, Kristen Aliano, MD, Thomas Davenport, MD FACS.
Long Island Plastic Surgical Group, Garden City, NY, USA.

Discussion - 5 minutes
*38. Optimization of Breast Cancer Treatment from Mastectomy to Reconstruction
Stephanos Boukovalas, MD, Eric Maiorino, MD, Richard J. Bleicher, MD, Eric I. Chang, MD.
Fox Chase Cancer Center, Rockledge, PA, USA.
39. Post-Operative Outcomes and Patient Satisfaction Following Oncoplastic Breast Reconstruction
Kristen Aliano, MD1, David Kaufman, MD, FACS2, Jessica Korsh, MS1, Katie Guarino, PA1, Tommaso Addona, MD, FACS1.
1Long Island Plastic Surgical Group, Garden City, NY, USA, 2Breast Care Specialists, Bethpage, NY, USA.

Discussion - 5 minutes
3:00 pm - 4:00 pm Session 3B (Concurrent Abstract Session): Craniofacial
Moderator: June Wu, MD
40. A Prospective Analysis of Physical Exam Findings in the Diagnosis of Facial Fractures: Determining Predictive Value
Alisa Timashpolsky, BA 1, Syed M. Sayeed, MD 2, Jamie L. Romeiser, MPH 1, Elisheva A. Rosenfeld, MD-DDS 3, Nicole Conkling, MD 4, Alexander B. Dagum, MD, FRCS (C), FACS 1.
1Stony Brook University Hospital, Stony Brook, NY, USA, 2Nassau University Medical Center, East Meadow, NY, USA, 3North Shore Long Island Jewish Medical Center, Manhasset, NY, USA, 4University of California, San Francisco, San Francisco, CA, USA.
41. Facial Wound Closure in 261 Children Using a 7-0 Absorbable Suture Dressing
Javier A. Couto, BS, Jorie E. Sullivan, BA, Arin K. Greene, MD, MMSc.
Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
*42. Surgical Intervention on Pediatric Orbital Floor Fractures Improves Enophthalmos but does Not Affect Visual Outcomes: An Analysis of 72 Children with Isolated Orbital Floor Fractures
Justin M. Broyles, MD, Danielle Jones, BS, Justin Bellamy, BS, Tarek Elgendy, MBBCh, Mohamad Sebai, MD, Sami Tuffaha, MD, Karim Sarhane, MD, Paul N. Manson, MD, Amir H. Dorafshar, MBChB.
The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Discussion - 5 minutes
43. Timing of Cleft Palate Repair and Effect on Growth: A Comparison of American Children and International Adoptees
Sandra Tomlinson-Hansen, BA, Patrick Gerety, MD, Jesse A. Taylor, MD.
The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
44. Age and Sex-related Differences in Pediatric Facial Fractures at a Level 1 Trauma Ccenter
Ian C. Hoppe, MD, Anthony M. Kordahi, BA, Angie M. Paik, BA, Edward S. Lee, MD, Mark S. Granick, MD.
New Jersey Medical School - Rutgers University, Newark, NJ, USA.
*45. New-Onset Craniosynostosis Following Posterior Vault Distraction Osteogenesis
Youssef Tahiri, MD, CM, MSc, FRCSC, J. Thomas Paliga, Valery Shubinets, MD, Fares Samra, MD, Scott Barteltt, MD, FACS, Jesse A. Taylor, MD.
University of Pennsylvania, Philadelphia, PA, USA.

Discussion - 5 minutes
*46. Non-Operative Management of Robin Sequence: When Is Less Really More?
Frank P. Albino, Medical Doctor, Benjamin C. Wood, MD, Mitch Seruya, MD, Gary F. Rogers, MD, JD, MBA, MPH, Albert K. Oh, MD.
Children's National Medical Center, Washington, DC, USA.
*47. Out-of-Pocket and Opportunity Costs Associated with the Surgical Management of Craniofacial Malformations
Peter F. Koltz, MD, John A. Girotto, MD.
University of Rochester Medical Center, Rochester, NY, USA.

Discussion - 5 minutes
4:00 pm - 5:30 pm Panel 3: Cases "Shaken Not Stirred"
Moderator: Joseph Disa, MD
Panelists: Mario Solari, MD
Joseph Losee, MD
Eric Halvorson, MD
5:30 pm - 6:30 pm Welcome Reception
Poster Competition
 
SATURDAY, SEPTEMBER 13, 2014
7:00 am - 5:30 pm Registration
7:00 am - 8:00 am Continental Breakfast
7:30 am - 8:00 am NESPS Annual Business Meeting - Members Only
8:00 am - 9:00 am Session 4A (Concurrent Abstract Session): Aesthetics
Moderator: Raymond Dunn, MD
*48. Precision in Otoplasty: Combining Reduction Otoplasty with Traditional Otoplasty
Sammy Sinno, MD, Jessica Chang, BS, Charles Thorne, MD.
New York University, New York, NY, USA.
*49. Assessing Approaches to the Inferior Turbinate in Rhinoplasty: A Systematic Review of the Literature
Sammy Sinno, MD, Karan Mehta, BS, Sarah Kidwai, BS, Pierre Saadeh, MD.
New York University, New York, NY, USA.
50. Coating Surgical Sutures with a Novel, Biodegradable Amino Acid Based Poly(Ester Amide) (AA-PEA) Polymer Effectively Attenuates the Suture-Associated Foreign Body Inflammatory Response
Ope A. Asanbe, MD 1, Rachel C. Hooper, MD 1, Alicia Potuck, BS 2, Tarek Elshazly 1, Hector L. Osoria, BS 1, Jaime L. Bernstein, BS 1, Bella M. Vishnevsky, BS 1, Adam Jacoby, BA 1, Chih-Chang Chu, PhD 2, Jason A. Spector, MD, FACS 1.
1Weill Cornell Medical College, New York, NY, USA, 2Cornell University, Ithaca, NY, USA.

Discussion - 5 minutes
51. Endoscopic Brow Lift using Resorbable Bioscrews: A Qualitative and Quantitative Evaluation of Long Term Outcomes
Pieter Koolen, M.D. 1, Ahmed Ibrahim, M.D. 1, E. A.W.J. Dumont, MD, PhD 2, R. J.P.M. Franken, MD 2.
1Harvard Medical School/Beth Israel Deaconess Medical Center, Boston, MA, USA, 2Jeroen Bosch Hospital‘s-Hertogenbosch, Netherlands.
*52. Aesthetic Breast Shape Preferences Amongst Plastic Surgeons
Peter N. Broer, M.D. 1, Katie Weichman 2, Neil Tanna 3, Sabrina Juran 4.
1Bogenhausen Technical Teaching Hospital Munich, München, Germany, 2Memorial Sloan Kettering Cancer Center, New York, NY, USA, 3Long Island Jewish Medical Center, New Hyde Park, NY, USA, 4United Nations Population Fund, New York, NY, USA.
*53. Unplanned Hospital Readmission Following Body Contouring Procedures: An Analysis of 9,611 Patients From the National Surgical Quality Improvement (NSQIP) Databases
Ari M. Wes, BA, John P. Fischer, MD, Joseph M. Serletti, MD, Stephen J. Kovach, MD, Liza C. Wu, MD.
Hospital of the University of Pennsylvania, Philadelphia, PA, USA.

Discussion - 5 minutes
*54. The Phenomenon of the Spontaneously Auto-inflating Breast Implant
Jonathan Landon, MD, Vincent DiGregorio, MD.
Long Island Plastic Surgical Group, Garden City, NY, USA.
*55. The Impact of Geographic, Ethnic and Demographic Dynamics on the Perception of Beauty
Peter N. Broer, M.D. 1, Neil Tanna 2, Katie Weichman 3, Mark Walker 4, Sabrina Juran 5.
1Bogenhausen Technical Teaching Hospital Munich, München, Germany, 2Long Island Jewish Medical Center, New Hyde Park, NY, USA, 3Memorial Sloan Kettering Cancer Center, New York, NY, USA, 4Yale School of Medicine, New Haven, CT, USA, 5United Nations Population Fund, New York, NY, USA.

Discussion - 5 minutes
8:00 am - 9:00 am Session 4B (Concurrent Abstract Session): Hand/Micro
Moderator: Reena Bhatt, MD
*56. The Superior Breaking Strength of the Modified Silfverskiold Flexor Tendon Repair
Kavita Vakharia, Julia Stevenson
Penn State Hershey, Hershey, PA, USA.
*57. Discrepancies Between Meeting Abstracts and Subsequent Full Text Publications in Hand Surgery
Todd A. Theman, M.D., Brian I. Labow, M.D., Amir Taghinia, M.D..
Boston Children's Hospital, Boston, MA, USA.
58. The Genetic Basis of Dupuytren's Disease
Gloria R. Sue, Yong Kong, J. Grant Thomson, Carrie R. Swigart, Deepak Narayan.
Yale University, New Haven, CT, USA.

Discussion - 5 minutes
*59. Re-exploring the Anatomy of the Distal Humerus for its Role in Providing Vascularized Bone in the Repair of Scaphoid Non-unions
Logan Carr, MD, Brett Michelotti, Seabastian Brooke, MD, T. Shane Johnson, MD.
Milton S. Hershey Medical Center, Hershey, PA, USA.
*60. Pointing a Finger at Hospital Volume: Analysis of Digital Replantation Outcomes Using a National Database
Horatiu Muresan, M.D., Vishal Thanik, M.D., Patrick Reavey, M.D., M.S., Marc Soares, M.D.
Institute of Reconstructive Plastic Surgery, New York, NY, USA.
61. Digit Replantation in Children: A Nationwide Analysis of Outcomes and Trends of 455 Pediatric Patients
Nicholas Berlin, MPH 1, Charles T. Tuggle, MD, MHS 2, James G Thomson, MD, MSc 2, Alexander Au, MD 2.
1Yale University School of Public Health, New Haven, CT, USA, 2Yale University School of Medicine, New Haven, CT, USA.

Discussion - 5 minutes
62. Can Platelet-rich Plasma Impact the Formation of Flexor Tendon Adhesions?
Sebastian Brooke, MD, Brett Michelotti, Jordan Olson, MD, Sebastian Brooke, MD, T. Shane Johnson, MD, T. Shane Johnson, MD.
Milton S. Hershey Medical Center, Hershey, PA, USA.
*63. Lighted Retractor Assisted Short Scar Release of the Ulnar Nerve at the Cubital Tunnel
Stacy Henderson, M.D., Sebastian Brooke, M.D., Randy Hauck, M.D..
Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.

Discussion - 5 minutes
9:00 am - 10:00 am Panel 4: Goldilocks and the Three Breasts: Thin, Obese, and Just Right
Moderator: Sumner Slavin, MD
Panelists: Amy Colwell, MD
Mihye Choi, MD
Michele Shermak, MD
10:00 am - 11:00 am Session 5A (Concurrent Abstract Session): Breast Reconstruction
Moderator: Vu Nguyen, MD
64. An Outcomes Based Evolution of 800 Implant Based Breast Reconstructions with Acellular Dermal Matrix
Katie E. Weichman 1, Stelios Wilson, MD 2, Alexes Hazen, MD 2, Pierre Saadeh, MD 2, Jamie P. Levine, MD 2, Mihye Choi, MD 2, Nolan Karp, MD 2.
1Memorial Sloan Kettering Cancer Center, New York, NY, USA, 2New York University Langone Medical Center, New York, NY, USA.
65. Racial Differences in Ischemic Complications of Pedicled versus Free Abdominal Flaps for Breast Reconstruction
Cindy Wu, MD 1, John L. Clayton, MD, PhD, MPH 2, Eric G. Halvorson, MD 3.
1University of North Carolina, Chapel Hill, NC, USA, 2Intermountain Plastic Surgery, Salt Lake City, UT, USA, 3Harvard Medical School, Boston, MA, USA.

Discussion - 5 minutes
*66. Risk Analysis for Post-Operative Complications After Immediate Tissue Expander Breast Reconstruction (TE-IBR)
Gabriel Klein, MD, Wilimina Landford, BS, A. Laurie Shroyer, PhD, Jie Yang, PhD, Ziqi Meng, PhD, Brian O'Hea, MD, Alex Dagum MD, Duc T. Bui, MD, Sami Khan, MD.
Stony Brook University Hospital, Stony Brook, NY, USA.
67. Surgical Site Infections after Autologous Breast Reconstruction: An Analysis of 2899 Patients from the ACS-NSQIP Datasets
Cyndi Chung, MS, Jason Wink, MD, Jonas Nelson, MD, John Fischer, MD, Joseph Serletti, MD, Suhail Kanchwala, MD.
University of Pennsylvania, Philadelphia, PA, USA.
68. Free Flap Breast Reconstruction in Patients with Sickle Cell Trait
Jamie A. Schwartz, MD 1, Samantha Vogel, PA 1, Mark Sultan, MD 1, Mark Smith, MD 2, Joseph H. Dayan, MD 2, William Samson, MD 1.
1Mt. Sinai Roosevelt Hospital, New York, NY, USA, 2Mt. Sinai Beth Israel Medical Center, New York, NY, USA.

Discussion - 5 minutes
69. Quality of Life after Breast-Conserving Therapy: A Utility Score Assessment Study
Hani Sinno, MD, MEng 1, Joshua Vorstenbosch, PhD 1, Tassos Dionisopoulos, MD 1, Ahmed Ibrahim, M.D. 2, Adam Tobias, MD 2, Samuel Lin, MD 2, Bernard Lee, MD, MBA 2.
1McGill University, Montreal, QC, Canada, 2Harvard Medical School/Beth Israel Deaconess Medical Center, Boston, MA, USA.
70. Early Postoperative Complications of Breast Conservation Surgery Versus Simple Mastectomy with Implant Reconstruction for Early Stage Breast Cancer: A National Surgical Quality Improvement Program (NSQIP) Analysis
Bryan Pyfer, BS 1, Abhishek Chatterjee, MD, MBA 2, John F. Nigriny, MD 2, Julia Tchou, MD 3, Carla Fisher, MD 3, Sirish Maddali, MD 4.
1Dartmouth Geisel School of Medicine, Hanover, NH, USA, 2Division of Plastic Surgery, Dept of Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA, 3Division of General Surgery, Dept of Surgery, University of Pennsylvania Health System, Philadelphia, PA, USA, 4Plastic and Hand Surgery, Portland, ME, USA.
*71. A Propensity-Matched Analysis of the Influence of Breast Reconstruction on Subsequent Development of Lymphedema
Marten N. Basta, BA, John P. Fischer, MD, Joshua Fosnot, MD, Liza C. Wu, MD, Joseph M. Serletti, MD, Julia C. Tchou, MD, Yun R. Li, BS, Suhail K. Kanchwala, MD.
University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.

Discussion - 5 minutes
10:00 am - 11:00 am Session 5B (Concurrent Abstract Session): Head/Neck Reconstruction
Moderator: Mario Solari, MD
*72. Functional Donor Site Morbidity Following Vascularized Toe Transfer Procedures: A Review of the Literature and Biomechanical Considerations for Surgical Site Selection
Michael Sosin, MD 1, Yu-Te Lin, M.D. 2, John Steinberg, D.P.M. 3, Noah Oliver, D.P.M. 3, Ketan M. Patel, M.D. 2.
1R Adams Cowley Shock Trauma Center, Baltimore, MD, USA, 2Chang Gung Memorial Hospital, Taoyuan, Taiwan, 3MedStar Georgetown University Hospital, Washington, DC, USA.
*73. Vascularized Bone vs. Fasciocutaneous Free Flaps for Mandibular Reconstruction: A Retrospective Comparison of Outcomes and Complications
Marten N. Basta, BA, Patrick A. Gerety, MD, Gregory Epps, BA, John P. Fischer, MD, Jonas Nelson, MD, Suhail K. Kanchwala, MD, David W. Low, MD, Liza C. Wu, MD.
University of Pennsylvania, Philadelphia, PA, USA
74. Endoscopic-assisted infraorbital nerve release after craniofacial trauma
Michael Sosin, MD, Carla De La Cruz, BS, Michael R. Christy, MD.
R Adams Cowley Shock Trauma Center, Baltimore, MD, USA.

Discussion - 5 minutes
*75. A Perioperative Model for Medical and Surgical Complications in Complex Head and Neck Microvascular Reconstruction
Patrick A. Gerety, MD, Marten N. Basta, BA, John P. Fischer, MD, Megan Fracol, BA, Suhail K. Kanchwala, MD, Joseph M. Serletti, MD, David W. Low, MD, Liza C. Wu, MD.
University of Pennsylvania, Philadelphia, PA, USA.
76. Free Flap Reconstruction of the Hypopharynx: An Analysis of Patients and Outcomes at the University of Pittsburgh from 2002 to 2012
James IB, Vial IN, Deleyiannis F, Russavage J, Manders E, Solari M, and Acarturk TO.
University of Pittsburgh, Pittsburgh, PA, USA
*77. Obesity-Induced Lymphedema: Presentation, Diagnosis, and Management
Reid A. Maclellan, MD, MMSc, Frederick D. Grant, MD, Sumner A. Slavin, MD, Arin K. Greene, MD, MMSc.
Children's Hospital Boston / Harvard Medical School, Boston, MA, USA.

Discussion - 5 minutes
*78. Keeping it Simple: Improving Dental Outcomes with Osseointegrated Implants after "Single Barrel" Free Fibula Reconstruction of the Mandible
Jerry W. Chao, M.D. 1, Christine H. Rohde, M.D. 2, Michelle M. Chang, B.S. 2, David I. Kutler, M.D. 1, Joel Friedman, D.D.S. 1, Jason A. Spector, M.D. 1.
1Weill Cornell Medical Center, New York, NY, USA, 2Columbia University Medical Center, New York, NY, USA.
79. The Identification of Risk Factors Contributing to Free Flap Failure
Paymon Sanati-Mehrizy, BA, Jonatan Hernandez Rosa, MD, Peter J. Taub, MD.
Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Discussion - 5 minutes
11:00 am - 11:30 am Coffee Break: Ten Tips and Tricks
Moderator: Edward Lee, MD
11:30 am - 12:30 pm Session 6A: (Concurrent Abstract Session): Miscellaneous
Moderator: Alexander Au, MD
*80. Sterile Inflammation Increases Lymphangiogenesis after Lymph Node Transplantation
Daniel A. Cuzzone, MD, Swapna Ghanta, MD, Walter Joseph, BS, Ira L. Savetsky, MD, Jason Gardenier, MD, Nicholas J. Albano, BS, Jeremy Torrisi, BA, Seth Aschen, BS, Babak Mehrara, MD, FACS.
Memorial Sloan Kettering Cancer Center, New York, NY, USA.
81. Google Glass - A Next Generation Information Technology Platform for Plastic Surgery
Carrie Stern, MD, Oren Tepper, MD, Evan Garfein, MD.
Montefiore Medical Center, New York, NY, USA.
82. Fabrication of Cellular Pre-vascularized Tissue Constructs from Autogenous Tissue
Kadria N. Derrick, MD, Tarek Elshazly, B.S., Karina Hernandez, D.O., Alica Reiffel, M.D., Rachel Hooper, M.D., Alejandro Pino, B.S., Ope Asanbe, M.D., Alice Harper, B.S., Jason Spector, M.D., F.A.C.S..
Weill Cornell Medical College, New York, NY, USA.

Discussion - 5 minutes
83. The Effects of Cryopreservation on Isolation and Growth of Human Adipose Derived Stem Cells
Sean Devitt, MD, Cynthia M. Carter, BS, Raia Z. Dierov, MS, Scott Weiss, BS, Ivona Percec, MD, PhD.
University of Pennsylvania, Philadelphia, PA, USA.
*84. Perioperative Management of Large Vascular Malformations in the Setting of CLOVES Syndrome
Valeriy Shubinets, MD, Hoang Nguyen, MD, David W. Low, MD.
University of Pennsylvania, Philadelphia, PA, USA.
*85. A Novel Animal Model for Studying Peri-Prosthetic Capsule Formation
Adam Jacoby, BA, Rachel C. Hooper, MD, Jeho Jeong, Phd, Kadria N. Derrick, MD, Ope Asanbe, MD, Arielle Sasson, Hector L. Osoria, BS, Tarek Elshazly, BA, Pat B. Zanzonico, Phd, Jason A. Spector, MD, FACS.
Weill Cornell Medical College, New York, NY, USA.

Discussion - 5 minutes
86. PEMF Accelerates Reduction of Post-Operative Pain and Inflammation: Application to Plastic and Reconstructive Surgical Procedures
Christine H. Rohde, MD, MPH, FACS 1, Erin M. Taylor, MD 1, Jeffrey A. Ascherman, MD, FACS 1, Krista L. Hardy, BS 1, Arthur A. Pilla, PhD 2.
1Columbia University Medical Center, New York, NY, USA, 2Departments of Biomedical Engineering, Columbia University and Orthopedics, Mount Sinai School of Medicine, New York, NY, USA.
87. The Status of Cleft Lip Repair - An Assessment Using the 2012 ACS NSQIP Pediatric
Kaitlyn M. Paine, BM, Youssef Tahiri, MD, MSc, Ari M. Wes, BA, Jason D. Wink, BA, John P. Fischer, MD, MSc, CarolAnn H. Gelder, RN, MSN, Jesse A. Taylor, MD.
The Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Discussion - 5 minutes
11:30 am - 12:30 pm Session 6B: (Concurrent Abstract Session): Pediatric/Craniofacial
Moderator: Edward Caterson, MD
*88. Acellular Dermal Matrix in Primary Palatoplasty: Implications for Speech
Darren M. Smith, MD, Sanjay Naran, MD, Sameer Shakir, BS, Liliana Camison, BS, Rick Mai, MD, Jesse Goldstein, MD, Joseph E. Losee, MD.
University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
*89. Circular Excision and Purse-String Closure for Pediatric Facial Skin Lesions
Aladdin H. Hassanein, MD, MMSc, Javier A. Couto, BS, Arin K. Greene, MD, MMSc.
Harvard Medical School, Boston Children's Hospital, Boston, MA, USA
*90. Pediatric Skull Fractures: Demographics, Injury Patterns, Associated Injuries, and Operative Indications and Outcomes in 923 Consecutive Patients?
Sanjay Naran, Oluwaseun Adetayo, MD, Christopher Bonfield, MD, Ian Pollack, MD, Joseph Losee, MD.
University of Pittsburgh, Pittsburgh, PA, USA.

Discussion - 5 minutes
*91. Conjoined Twin Separation: Integration of Three-Dimensional Modeling for Optimization of Surgical Planning
Sarah R. Sher, MD, Benjamin C. Wood, MD, Albert K. Oh, MD, Tina M. Sauerhammer, MD, Carolyn Cochenour, Gary F. Rogers, MD, JD, MBA, MPH, Michael J. Boyajian, MD.
Children's National Medical Center, Washington, DC, USA.
92. Factors that Impact Quality of Life of Individuals with Cleft Lip and Palate
Paymon Sanati-Mehrizy, BA, Jonatan Hernandez Rosa, MD, Nathaniel L. Villanueva, MD, Rebecca L. Wu, MD, Donna A. Eckstein, MD, J Roscoe Wasserburg, Lester Silver, MD MS, Peter J. Taub, MD.
Icahn School of Medicine at Mount Sinai, New York, NY, USA
*93. Management of Large Congenital Melanocytic Nevi: Outcomes Study of Serial Excision
Aladdin H. Hassanein, MD, MMSc 1, Gary F. Rogers, MD, JD, MBA, MPH 2, Arin K. Greene, MD, MMSc 1.
1Harvard Medical School, Boston Children's Hospital, Boston, MA, USA, 2Children's National Medical Center, Washington, DC, USA.

Discussion - 5 minutes
94. The Prevalence of Strabismus In Unilateral Coronal Craniosynostosis
Fares Samra, M.D., J Thomas Paliga, Youssef Tahriri, MD, Linton A. Whitaker, M.D., Scott P. Bartlett, M.D., Brian J. Forbes, M.D., Ph.D., Jesse A. Taylor, M.D..
University of Pennsylvania and Children's Hospital of Philadelphia, Philadelphia, PA, USA.
*95. Operative Management of Non-Syndromic Sagittal Craniosynostosis: A Head-to-Head Meta-Analysis of Outcomes Comparing Three Techniques
Patrick A. Gerety, MD 1, Marten N. Basta, BA 1, John P. Fischer, MD 1, Scott P. Bartlett, MD 2, Jesse A. Taylor, MD 2.
1University of Pennsylvania, Philadelphia, PA, USA, 2Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Discussion - 5 minutes
12:30 pm - 1:15 pm Founders' Lecture
"Everything is Awesome!"
William Kuzon, MD
1:15 pm - 2:15 pm LUNCHEON LEARN: Panel 5: Show Me The Money: Technology and Marketing Loss Leaders and Business Boosters
Moderator: Jeffrey Guesnoff, MD
Panelists: Dennis Hurwitz, MD
Daniel Del Vecchio, MD
2:15 pm - 3:15 pm Panel 6: Eye'll Get You My Pretty: Eyelid Challenges
Moderator: Mark Codner, MD
Panelists: Patrick Sullivan, MD
Michael Yaremchuk, MD
3:15 pm - 3:45 pm Coffee Break: Photography 101 for the Plastic Surgeon
Moderator: Eric Halvorson, MD
3:45 pm - 4:30 pm Presidential Address
John Girotto, MD
4:30 pm - 5:30 pm Session 7: Bullet Papers
Moderator: Jesse Taylor, MD
96. Rethinking NAC Tattoo - A New Technique with Superior Results
Eric G. Halvorson, MD 1, Michael Cormican, MD 2, Misti E. West, RN 3, Vinnie Myers 4.
1Harvard Medical School, Boston, MA, USA, 2Emory University, Atlanta, GA, USA, 3MD Anderson Cancer Center, The Woodlands, TX, USA, 4Little Vinnie's Tattoos, Finksburg, MD, USA.
97. Quantitative Analysis of Nipple Areola Complex Tattoo Fade Patterns: Results of a Prospective Study
Heather A. Levites, Anna Lyubchik, BA, Nicholas A. Trasolini, BSE, Indira M. Fromm, Mitchell S. Fourman, M.Phil., Brett T. Phillips, MD, Sami U. Khan, MD, Alexander B. Dagum, MD, Duc T. Bui, MD.
Stony Brook School of Medicine, Stony Brook, NY, USA.
98. Weight Changes in Adolescents Following Reduction Mammaplasty
Brian I. Labow, MD, Carolyn M. Pike, MPH, Laura C. Nuzzi, BA.
Boston Children's Hospital, Boston, MA, USA

Discussion - 5 minutes
99. Analysis of Risk Factors Associated with 30-day Readmissions Following Pediatric Plastic Surgery - A Review of 5,376 Procedures
Youssef Tahiri, MD, John P. Fischer, MD, Jason D. Wink, BA, Kaitlyn M. Paine, BM, J Thomas Paliga, BA, Scott P. Bartlett, MD, Jesse A. Taylor, MD.
The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
100. Predictors of Admission for Patients Who Present With Hand Cellulitis to the Emergency Department: A 13- year Retrospective Review
Oscar Manrique, M.D. 1, Joshua Jacobson, MD 1, Matthew Doscher, M.D. 1, Ralph Wm. Liebling, M.D. 2.
1Montefiore Medical Center - Albert Einstein College of Medicine, Bronx, NY, USA, 2Jacobi Medical Center - Albert Einstein College of Medicine, Bronx, NY, USA.
101. Microperforation of Acellular Dermal Matrices Does Not Increase the Rate of Cellular Invasion
Hector L. Osoria, BS, Adam Jacoby, BA, Rachel C. Hooper, MD, Kadria Derrick, MD, Ope Asanbe, MD, Vishal Patel, BA, Karina Hernandez, MD, Sophie Boers, Tarek Elshazly, Arielle Sasson, Jason Spector, MD, FACS.
Weill Cornell Medical College, New York, NY, USA.

Discussion - 5 minutes
102. Effects of External Volume Expansion in Irradiated Skin
Jorge Lujan-Hernandez, M.D., Michael S. Chin, M.D., Oksana O. Babchenko, Elizabeth Bannon, M.S., Heather Strom, M.A., Ronald Ignotz, Ph.D., Yuan-Chyuan Lo, Ph.D., Thomas J. Fitzgerald, M.D., Janice F. Lalikos, M.D..
University of Massachusetts, Worcester, MA, USA.
103. The Attitude of Hand Surgeons Towards the Affordable Care Act: A Survey of Members of the American Society for Surgery of the Hand
Valeriy Shubinets, MD, Patrick A. Gerety, MD, Christopher J. Pannucci, MD, MS, Michael N. Mirzabeigi, MD, Benjamin Chang, MD, Scott L. Levin, MD, Ines C. Lin, MD.
University of Pennsylvania, Philadelphia, PA, USA.
104. Recurrent Interdigital Pilonidal Sinus in a Dog Groomer: A Case Report
Lauren B. Shikowitz-Behr, MD, Alan M. Freedman, MD.
North Shore - LIJ Health System, New Hyde Park, NY, USA.

Discussion - 5 minutes
105. Patient-Reported Satisfaction and Quality of Life Following Unilateral Pedicled and Free Abdominal Flap Reconstruction: Is There a Difference?
Jonathan A. Schwitzer, BA, Amie M. Scott, MPH, H. Catherine Miller, BS, Evan Matros, MD, Claudia R. Albornoz, MD, Babak J. Mehrara, MD, Andrea L. Pusic, MD, Colleen M. McCarthy, MD, Joseph J. Disa, MD.
Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
106. Teaching Flexor Tendon Repair
Peter N. Broer, M.D. 1, Samuel Buonocore 2, Katie Weichman 3, Mark Walker 4, Grant Thomson 4.
1Bogenhausen Technical Teaching Hospital Munich, München, Germany, 2Saint Francis Medical Group, Inc., Hartford, CT, USA, 3Memorial Sloan Kettering Cancer Center, New York, NY, USA, 4Yale School of Medicine, New Haven, CT, USA.
107. A Quantitative Analysis of Facial Asymmetry in Congenital Muscular Torticollis (CMT) Using Three-Dimensional Photogrammetry
Vanessa M. Baratta, BA, Olivia E. Linden, BA, Margaret E. Byrne, RN, Stephen R. Sullivan, MD, MPH, Helena O. Taylor, MD, PhD.
Brown, Providence, RI, USA.

Discussion - 5 minutes
6:30 pm - 9:00 pm Art Auction & President's Reception
Roger Williams Park Zoo
 
SUNDAY, SEPTEMBER 14, 2014
7:00 am - 11:00 am Registration
7:00 am - 8:00 am Continental Breakfast
7:00 am - 8:00 am MOC: Cleft Lip
Chair: Derek Steinbacher, MD

MOC: Metacarpal Fractures
Chair: Scott Lifchez, MD

8:00 am - 9:00 am Invited Guest Lecturer
Biologic Scaffolds as Inductive Templates for Functional Tissue Reconstruction
Stephen Badylak, DVM, PhD, MD
Professor, Department of Surgery
Deputy Director, McGowan Institute for Regenerative Medicine
9:00 am - 10:00 am Panel 7: Back to the Future: New Regenerative Medicine Innovations
Moderator: J. Peter Rubin, MD
Panelists: Stephen Badylak, DVM, PhD, MD
Jason Spector, MD
Daniel Del Vecchio, MD
10:00 am - 10:45 am Resident Best Paper Award Alumni Lectureship
Jason Spector, MD
10:45 am - 11:00 am Presentation of Awards and Meeting Conclusion
 
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