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13 results on '"Chuma J"'

5. Breast Reduction in Adolescents: Indication, Timing, and a Review of the Literature

Author

Erik M. Wolfswinkel, William M. Weathers, Chuma J. Chike-Obi, Lior Heller, and Amy S. Xue

Subjects
Pediatrics, medicine.medical_specialty, Time Factors, Adolescent, Mammaplasty, medicine.medical_treatment, Breast hypertrophy, Dehiscence, Cicatrix, Patient satisfaction, Surgical Wound Dehiscence, Body Image, medicine, Humans, Surgical Wound Infection, Breast, Bilateral breast reduction, Retrospective Studies, Neck Pain, business.industry, Obstetrics and Gynecology, Treatment method, Hypertrophy, General Medicine, Social Participation, medicine.disease, Surgery, Back Pain, Patient Satisfaction, Pediatrics, Perinatology and Child Health, Etiology, Female, Breast reduction, business
Abstract

Background Adolescent breast hypertrophy can have long-term negative medical and psychological impacts. In select patients, breast reduction surgery is the best treatment. Unfortunately, many in the general and medical communities hold certain misconceptions regarding the indications and timing of this procedure. Several etiologies of adolescent breast hypertrophy, including juvenile gigantomastia, adolescent macromastia, and obesity-related breast hypertrophy, complicate the issue. It is our hope that this paper will clarify these misconceptions through a combined retrospective and literature review. Methods A retrospective review was conducted looking at adolescent females (≤18 years old) who had undergone bilateral breast reduction surgery. Their preoperative comorbidities, BMI, reduction volume, postoperative complications, and subjective satisfaction were recorded. In addition, a literature review was completed. Results 34 patients underwent bilateral breast reduction surgery. The average BMI was 29.5 kg/m2. The average volume resected during bilateral breast reductions was 1820.9 g. Postoperative complications include dehiscence (9%), infection (3%), and poor scarring (6%). There were no cases of recurrence or need for repeat operation. Self-reported patient satisfaction was 97%. All patients described significant improvements in self body-image and participation in social activities. The literature review yielded 25 relevant reported articles, 24 of which are case studies. Conclusion Reduction mammaplasty is safe and effective. It is the preferred treatment method for breast hypertrophy in the adolescent female and may be the only way to alleviate the increased social, psychological, and physical strain caused by this condition.

Published
2013

6. Late seroma during pregnancy, a rare complication in prosthetic breast augmentation: Case report

Author

Daniel J. Gould, Jamal M. Bullocks, Chuma J. Chike-Obi, and Forrest S. Roth

Subjects
Adult, medicine.medical_specialty, Breast Implants, Malignancy, law.invention, Pregnancy, Recurrence, law, medicine, Humans, Breast augmentation, Device Removal, Galactocele, Placental abruption, business.industry, medicine.disease, Surgery, Pregnancy Complications, Plastic surgery, Seroma, Breast implant, Female, Implant, business
Abstract

A 29 year old Hispanic woman with a history of breast augmentation and a pregnancy complicated by placental abruption presented to the plastic surgery service for evaluation of a swollen right breast. The patient was examined and several tests were performed to rule out infection, galactocele, and malignancy. The swelling was attributed to fluid adjacent to her implant which was aspirated and found to contain red blood cells and foam cells but no infectious agent or malignant cells. One month after aspiration and continued drainage, the patient returned with recurrent swelling and pain. Repeat imaging showed recurrent fluid collection in the right breast. Excision and capsulectomy were performed and the patient was found to have a double capsule with a seroma. This article presents the first known case of pregnancy-associated late implant seroma formation, as well as a brief review of the literature regarding this rare finding in prosthetic breast augmentation.

Published
2012

7. Effective breast reconstruction in female veterans

Author

Chuma J. Chike-Obi, Mimi Leong, Edward I. Lee, David T. Netscher, C. Bob Basu, and Daniel Albo

Subjects
Adult, medicine.medical_specialty, Referral, Hospitals, Veterans, medicine.medical_treatment, Mammary gland, Breast Neoplasms, Surgical Flaps, Breast cancer, medicine, Humans, Referral and Consultation, Veterans Affairs, Mastectomy, Veterans, business.industry, General Medicine, Middle Aged, Plastic Surgery Procedures, medicine.disease, United States, Surgery, Plastic surgery, medicine.anatomical_structure, Female, Implant, Neoplasm Recurrence, Local, Breast reconstruction, business
Abstract

Background Despite increasing female veteran numbers, literature regarding reconstruction after breast cancer is lacking. The purpose of this study was to examine breast reconstruction referral rates and reconstruction outcomes at a tertiary Veterans Affairs hospital. Methods Female breast cancer patients (1997–2008) were identified. Demographics, tumor stage, oncologic therapies, reconstructive timings and procedures, and complications were noted. Results Eighty-two women underwent mastectomy (46%) or breast conservation (43%). The referral rates to plastic surgery were 61% (mastectomy) and 32% (overall). Reconstruction rates were 42% (mastectomy) and 22% (overall). Sixty-nine percent were suitable candidates and chose immediate (67%) or delayed (33%) reconstruction, with implant-based (44%), autologous (39%), or autologous plus implants (17%). There were complications (28%) but no mortalities. Comorbidities were not correlated with outcomes. Conclusions Breast reconstruction can be effectively delivered within the Veterans Affairs system. It is essential that sufficient Veterans Affairs resources be deployed to address the increasing reconstructive needs of female veterans.

Published
2009

13. Geant4—a simulation toolkit

Author

Agostinelli, S., primary, Allison, J., additional, Amako, K., additional, Apostolakis, J., additional, Araujo, H., additional, Arce, P., additional, Asai, M., additional, Axen, D., additional, Banerjee, S., additional, Barrand, G., additional, Behner, F., additional, Bellagamba, L., additional, Boudreau, J., additional, Broglia, L., additional, Brunengo, A., additional, Burkhardt, H., additional, Chauvie, S., additional, Chuma, J., additional, Chytracek, R., additional, Cooperman, G., additional, Cosmo, G., additional, Degtyarenko, P., additional, Dell'Acqua, A., additional, Depaola, G., additional, Dietrich, D., additional, Enami, R., additional, Feliciello, A., additional, Ferguson, C., additional, Fesefeldt, H., additional, Folger, G., additional, Foppiano, F., additional, Forti, A., additional, Garelli, S., additional, Giani, S., additional, Giannitrapani, R., additional, Gibin, D., additional, Gómez Cadenas, J.J., additional, González, I., additional, Gracia Abril, G., additional, Greeniaus, G., additional, Greiner, W., additional, Grichine, V., additional, Grossheim, A., additional, Guatelli, S., additional, Gumplinger, P., additional, Hamatsu, R., additional, Hashimoto, K., additional, Hasui, H., additional, Heikkinen, A., additional, Howard, A., additional, Ivanchenko, V., additional, Johnson, A., additional, Jones, F.W., additional, Kallenbach, J., additional, Kanaya, N., additional, Kawabata, M., additional, Kawabata, Y., additional, Kawaguti, M., additional, Kelner, S., additional, Kent, P., additional, Kimura, A., additional, Kodama, T., additional, Kokoulin, R., additional, Kossov, M., additional, Kurashige, H., additional, Lamanna, E., additional, Lampén, T., additional, Lara, V., additional, Lefebure, V., additional, Lei, F., additional, Liendl, M., additional, Lockman, W., additional, Longo, F., additional, Magni, S., additional, Maire, M., additional, Medernach, E., additional, Minamimoto, K., additional, Mora de Freitas, P., additional, Morita, Y., additional, Murakami, K., additional, Nagamatu, M., additional, Nartallo, R., additional, Nieminen, P., additional, Nishimura, T., additional, Ohtsubo, K., additional, Okamura, M., additional, O'Neale, S., additional, Oohata, Y., additional, Paech, K., additional, Perl, J., additional, Pfeiffer, A., additional, Pia, M.G., additional, Ranjard, F., additional, Rybin, A., additional, Sadilov, S., additional, Di Salvo, E., additional, Santin, G., additional, Sasaki, T., additional, Savvas, N., additional, Sawada, Y., additional, Scherer, S., additional, Sei, S., additional, Sirotenko, V., additional, Smith, D., additional, Starkov, N., additional, Stoecker, H., additional, Sulkimo, J., additional, Takahata, M., additional, Tanaka, S., additional, Tcherniaev, E., additional, Safai Tehrani, E., additional, Tropeano, M., additional, Truscott, P., additional, Uno, H., additional, Urban, L., additional, Urban, P., additional, Verderi, M., additional, Walkden, A., additional, Wander, W., additional, Weber, H., additional, Wellisch, J.P., additional, Wenaus, T., additional, Williams, D.C., additional, Wright, D., additional, Yamada, T., additional, Yoshida, H., additional, and Zschiesche, D., additional

Published
2003
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