{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T23:03:17Z","timestamp":1779750197377,"version":"3.53.1"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Understanding the environmental effects of surgery can help develop environmentally sound practices.<\/jats:p>\n                  <jats:p>Examine the environmental impact of performing septorhinoplasty.<\/jats:p>\n                  <jats:p>Case study.<\/jats:p>\n                  <jats:p>A primary septorhinoplasty was selected. Materials, medications, devices, and energy used were identified, and medical waste and torn plastics were characterized and measured. Global warming potential (GWP) and microplastics generated were calculated using published conversion rates.<\/jats:p>\n                  <jats:p>GWP of this septorhinoplasty was 192.3\u2009kg CO2 equivalent (CO2e). The greatest contributor to GWP was the use of disposable supplies (160.95\u2009kg CO2e), with smaller contributions from the sterilization of surgical equipment, anesthetic gases, environmental HVAC energy, surgical instrument manufacturing, and incineration of regulated medical waste. Microplastic production ranged between 97,637 and 530,638 microplastics.<\/jats:p>\n                  <jats:p>The environmental cost of septorhinoplasty was dominated by disposable items, contributing to GWP and microplastic production. Through awareness of the environmental impact of their choices, surgeons can develop mitigation strategies to minimize their effect.<\/jats:p>","DOI":"10.1055\/a-2838-8338","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T23:57:32Z","timestamp":1774396652000},"page":"409-415","source":"Crossref","is-referenced-by-count":0,"title":["Opportunities for Environmental and Public Health Stewardship in the Operating Room"],"prefix":"10.1055","volume":"42","author":[{"given":"Matthew S.","family":"Sclafani","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medicine, New York, New York, United States"},{"name":"School of General Studies, Columbia University, New York, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Mastin","sequence":"additional","affiliation":[{"name":"Energy and Commissioning Program Facilities Administration, New York-Presbyterian Hospital, New York, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arron","family":"Cole","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medicine, New York, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,3,31]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1097\/XCS.0000000000000478","article-title":"Environmental impact and cost savings of operating room quality improvement initiatives: a scoping review","volume":"236","author":"G A Sullivan","year":"2023","journal-title":"J Am Coll Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"107630","DOI":"10.1016\/j.envint.2022.107630","article-title":"Microplastics in the surgical environment","volume":"170","author":"D T 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