A5047136036- Craniofacial Disorders and Treatments
- Cleft Lip and Palate Research
- Facial Trauma and Fracture Management
- Tracheal and airway disorders
- Head and Neck Surgical Oncology
- Global Health and Surgery
- Traumatic Brain Injury and Neurovascular Disturbances
- Nasal Surgery and Airway Studies
- Reconstructive Facial Surgery Techniques
- Congenital Anomalies and Fetal Surgery
- dental development and anomalies
- Orthodontics and Dentofacial Orthopedics
- Diversity and Career in Medicine
- Global Health Workforce Issues
- Evolutionary Psychology and Human Behavior
- Connective tissue disorders research
- Cardiac, Anesthesia and Surgical Outcomes
- History of Medical Practice
- Pectus Deformity Diagnosis and Treatment
- Spinal Fractures and Fixation Techniques
- Airway Management and Intubation Techniques
- Body Image and Dysmorphia Studies
- Congenital Ear and Nasal Anomalies
- Ocular Disorders and Treatments
- Health and Medical Research Impacts
Children's Hospital of Philadelphia
2016-2025
Philadelphia University
2015-2024
University of Pennsylvania
2015-2024
American Cleft Palate-Craniofacial Association
2017-2024
Creative Commons
2016-2023
Center For Reconstructive Urethral Surgery
2021-2023
World Health Organization
2023
Pennsylvania Hospital
2017-2023
University of Mississippi Medical Center
2022
Children's Hospital of Wisconsin
2022
Background: The authors hypothesize that early posterior vault distraction osteogenesis safely confers considerable cranial remodeling, sufficient to enable fronto-orbital advancement be delayed a later age, with improved outcomes. Methods: conducted retrospective cohort study of children syndromic craniosynostosis treated before (2003 2008) or after (2009 2014) implementation osteogenesis. Results: Sixty presented during the period. Forty met inclusion criteria care continuity and complete...
In Brief Learning Objectives: After studying this article, the participant should be able to: 1. Describe technical details common to all cleft palate repairs that optimize outcomes and minimize complications. 2. Explain subjective objective evaluation of speech in children with palate. 3. Practice an increased awareness management complications associated repair. 4. Design a treatment plan for velopharyngeal dysfunction. Summary: Goals successful repair include separation oral nasal...
Detecting elevated intracranial pressure in children with subacute conditions, such as craniosynostosis or tumor, may enable timely intervention and prevent neurocognitive impairment, but conventional techniques are invasive often equivocal. Elevated leads to structural changes the peripapillary retina. Spectral-domain (SD) optical coherence tomography (OCT) can noninvasively quantify retinal layers a micron-level resolution.To evaluate whether measurements from OCT serve an effective...
Objective To describe how the psychosocial status of patients with cleft lip and/or palate (CL/P) relates to patient-reported outcomes (PROs). Design Cross-sectional retrospective chart review. Setting Tertiary care pediatric hospital. Patients/Participants Patients aged 8 29 years attending team evaluations during a 1-year period. Main Outcome Measures CLEFT-Q. Results (N = 158) isolated or syndromic CL/P and mean age 13.4 ± 3.0 were included. Fifteen (9%) had siblings who also CL/P. Of 104...
The epidemiology of cluster headache is virtually unknown. Using the unique resources Rochester Epidemiology Project for population-based studies, we identified 26 Olmsted County, Minnesota, residents who fulfilled International Headache Society criteria newly diagnosed between 1979 and 1981. As part a large study migraine headache, screened more than 6,400 patient records from several diagnostic rubrics to obtain this cohort, accomplished case ascertainment exclusively through medical...
Fronto-orbital advancement and remodeling (FOAR) remains the most widely practiced treatment of unicoronal craniosynostosis (UCS) despite recent studies ocular dysfunction aesthetic shortcomings in long-term. The aim study was to compare perioperative morbidity short-term outcomes a recently developed, nondevascularizing, distraction-based UCS with conventional FOAR. To do so, authors compared first 6 patients who were treated new osteotomy/distraction approach last underwent traditional...
Background: Despite health system advances, residents of low- and middle-income countries continue to experience substantial barriers in accessing care, particularly for specialized care such as plastic reconstructive surgery. Methods: A cross-sectional household survey patients seeking surgical cleft lip and/or palate was completed at five Operation Smile International mission sites throughout Vietnam (Hanoi, Nghe An, Hue, Ho Chi Minh City, An Giang, Bac Lieu) November 2014. Results: Four...
The relationship between poverty and incidence of cleft lip palate remains unclear. authors investigated the association socioeconomic status with or without only in United States after controlling for demographic environmental risk factors.The U.S. 2016 2017 natality data were utilized. Proxies included maternal education, use Special Supplemental Nutrition Program Women, Infants, Children, payment source delivery. Multiple logistic regression controlled household demographics, prenatal...
The decision to undertake rhinoplasty maneuvers during cleft lip repair remains controversial. Little data compare long-term outcomes with and without primary (PR). This study compared nasolabial in cohorts unilateral (UCL) treated PR at the Children's Hospital of Philadelphia using standardized aesthetic anthropometric assessments. Retrospective cohort study. Tertiary care pediatric hospital. Patients who underwent for UCL. Cleft PR. Anthropometric analyses crowdsourced assessments...
Background The Center for Surgical Health (CSH) works to improve surgical access under-resourced communities in Philadelphia via patient navigation services. This study defined the social profiles, clinical needs, and satisfaction of patients engaging with Plastic Hand Surgery (PHS) division CSH. Methods Patients referred from June 2019 October 2024 were included. Eligible received NE 2 AR support: navigation, education, empowerment, payers providers, screening legal referrals. Patient...
With unprecedented survival rates in modern burn care, there is increasing focus on optimizing long-term functional outcomes. However, 3% to 8% of patients admitted centers still die injury. Patterns which these progress death remain poorly characterized. We hypothesized that nonsurvivors will follow distinct temporal distributions and patterns decline, parallel the trimodality deaths previously described for trauma.We retrospectively identified all adult from 1995 2007 National Burn...
Standard clinical pathways are well established for children with cleft lip and/or palate. Treatment of internationally adopted differs because the late age at presentation, a newly evolving child-family relationship, and variable extent quality previous treatment.The authors characterized presentation treatment patterns all clefts their institution between 1997 2011.Among 1841 clefts, 216 (12 percent) were adopted: 78 percent had palate, 18 lip, 4 Patients originated predominantly from...
OBJECTIVEEvaluation of increased intracranial pressure (ICP) in the pediatric craniosynostosis population based solely on ophthalmological, clinical, and radiographic data is subjective, insensitive, inconsistent. The aim this study was to examine intraoperative ICP before after craniectomy patient population.METHODSThe authors measured using a subdural monitor 45 children. They regulated end-tidal carbon dioxide monitoring site under general anesthesia record consistent readings.RESULTSThe...
Background: The emphasis on cultural competency for physicians and surgeons is increasingly important, as communication with both patients other providers significantly affects individual system-wide outcomes. International surgical training has been shown to improve leadership skills, competency, technical proficiency of participants in short-term follow-up. This study explores the long-term impact international mission experiences developing participants’ core competencies, professional...
Patients with syndromic craniosynostosis have an increased incidence of progressive hydrocephalus and Chiari malformations, few data on the relative benefit various surgical interventions. The authors compare resolution malformations between patients undergoing posterior vault distraction osteogenesis (PVDO) conventional cranial remodeling.
Background: Controversy exists regarding the treatment of mandibular hypoplasia in craniofacial microsomia patients, notably role distraction osteogenesis. The authors compared need for orthognathic surgery skeletally mature subjects who either did (study group) or not (control undergo early Methods: A retrospective review was conducted all patients evaluated between January 1993 and March 2017. This study included with a Kaban-Pruzansky grade I to III mandible, were at least 14 years old...
Abstract Background The unmet burden of surgical disease represents a major global health concern, and lack trained providers is critical component the inadequacy care worldwide. Competency‐based training has been advanced in high‐income countries, improving technical skills decreasing time, but it poorly understood how this model might be applied to low‐ middle‐income countries. We describe development competency‐based program accelerate specialty in‐country cleft surgery techniques....