A5050385976- Craniofacial Disorders and Treatments
- Cleft Lip and Palate Research
- Facial Trauma and Fracture Management
- Digital Imaging in Medicine
- Tracheal and airway disorders
- Anatomy and Medical Technology
- Radiation Dose and Imaging
- Reconstructive Facial Surgery Techniques
- Congenital Anomalies and Fetal Surgery
- Facial Nerve Paralysis Treatment and Research
- Functional Brain Connectivity Studies
- Dental Implant Techniques and Outcomes
- Dental Radiography and Imaging
- Schizophrenia research and treatment
- AI in cancer detection
- Head and Neck Surgical Oncology
- Surgical Simulation and Training
- dental development and anomalies
- Nasal Surgery and Airway Studies
- Reconstructive Surgery and Microvascular Techniques
- Orthodontics and Dentofacial Orthopedics
- Neural and Behavioral Psychology Studies
- Bone fractures and treatments
- Statistical Methods in Clinical Trials
- Salivary Gland Tumors Diagnosis and Treatment
The University of Texas Southwestern Medical Center
2016-2025
Children's Medical Center
2016-2024
Creative Commons
2016-2023
Laboratoire de physique des lasers
2022
Sorbonne Université
2022
Université Sorbonne Paris Nord
2022
Centre National de la Recherche Scientifique
2022
Southwestern Medical Center
2016-2021
Texas Plastic Surgery
2015-2019
Baylor School
2018
Although most cases of craniosynostosis are nonsyndromic, is known to occur in conjunction with other anomalies well-defined patterns that make up clinically recognized syndromes. Patients syndromic craniosynostoses much more complicated care for, requiring a multidisciplinary approach address all their needs effectively. This review describes the common syndromes, characteristic features and syndrome-specific functional issues, new modalities utilized management. General principles...
Objective: Nasoalveolar molding (NAM) in bilateral cleft lip and palate (BCLP) patients has been shown to improve anatomical alignment assist primary nasal repair. However, the rate of change throughout treatment period how length time impacts outcomes have yet be elucidated. This study aims assess progressive changes lips nose during NAM therapy with BCLP. Design: A retrospective review 165 three-dimensional (3D) images BCLP who underwent NAM. 3D were obtained pre-NAM weekly over 10 weeks...
Metopic suture closure can manifest as a benign metopic ridge (BMR), variant of normal, to "true" craniosynostosis (MCS), which is associated with severe trigonocephaly. Currently, there no gold standard for how much orbitofrontal dysmorphology should trigger surgical intervention. In our study, we used three-dimensional (3D) curvature analysis separate the phenotypes along spectrum, and compare surgeons' thresholds operation. Three-dimensional analyses on 43 subject patients revealed that...
Quantifying ear deformity using linear measurements and mathematical modeling is difficult due to the ear's complex shape. Machine learning techniques, such as convolutional neural networks (CNNs), are well-suited for this role. CNNs deep methods capable of finding patterns from medical images, automatically building solution models machine diagnosis. In study, we applied CNN identify 2D photographs. Institutional review board (IRB) approval was obtained retrospective study train test CNNs....
Background: Sculpted physical models and castings of the anatomy cleft lip palate are used for parent, patient, trainee education conditions. In this study, we designed a suite digital 3-dimensional (3D) with additive manufacturing techniques patient education. Methods: CT scans subjects isolated palate, unilateral bilateral control were obtained. Soft tissue bony structures segmented reconstructed into 3D models. The oral soft tissues overlying manually molded silicone putty scanned using...
Background: Restoring craniofacial symmetry is an important objective in the treatment of many conditions. Normal form has been measured using anthropometry, cephalometry, and photography, yet all these modalities have drawbacks. In this study, authors define normal pediatric asymmetry stereophotogrammetric images, which capture a densely sampled set points on form. Methods: After institutional review board approval, normal, healthy children ( n = 533) with no known abnormalities were...
OBJECTIVE Outcome studies for sagittal strip craniectomy have largely relied on the 2D measure of cephalic index (CI) as primary indicator head shape. The goal this study was to and 3D changes in shape that occur after postoperative helmet therapy. METHODS authors performed a retrospective review patients treated with at their institution between January 2012 October 2015. Inclusion criteria were follows: 1) isolated synostosis; 2) age surgery < 200 days; 3) management by single orthotist....
Human interactions begin with near-instantaneous visual evaluation of the face, modifying emotional responses and social behavior toward person. Eye-tracking technology can provide a potential window into how humans undertake this evaluation, threshold whether face containing craniofacial difference is perceived as "normal." This study's main questions were gaze patterns differ from normal when evaluating children differences, these vary different levels deformity. Two experiments tested...
Cone Beam computed tomography (CBCT) is used increasingly as a replacement for periapical x-rays when evaluating alveolar bone grafting. The manufacturer's standard settings dental imaging may not, however, represent the optimal postoperative grafts. We examined influence of exposure parameters on CBCT image quality to optimize images while reducing radiation dose minimum level necessary obtain adequate images.A defect was created in cadaver head simulate an cleft, and area filled with...
Background:As 3-dimensional (3D) printers and models become more widely available increasingly affordable, surgeons may consider investing in a printer for their own cleft or craniofacial center. To inform considering adoption of this evolving technology, study describes one multi-surgeon center's 5-year experience using 3D printer. Methods:This included printed between October 2012 2017. A Systems ZPrinter 650 was used to create all models. Models were subclassified by type (craniofacial vs...
Abstract Ear molding therapy is a nonsurgical technique to correct certain congenital auricular deformities. While the advantages of treatments over otoplasty are well-described, few studies have assessed aesthetic outcomes. In this study, we compared assessments outcomes ear for 283 ears by experienced healthcare providers and previously developed deep learning CNN model. 2D photographs were obtained as standard care in our onsite photography studio. Physician assistants (PAs) rated using...
This multicenter study aimed to compare demographic, operative, and short-term outcomes data between open minimally invasive surgical approaches for craniosynostosis repair utilizing the American College of Surgeon's National Surgical Quality Improvement Program Pediatric (NSQIP-P) database highlight disparities among races ethnicities.Retrospective review large database.Freestanding general acute care children's hospitals, hospitals within a larger hospital, specialty or with pediatric...
Molding helmet therapy is used for the treatment of infants with deformational brachycephaly (DB). There a lack rigorous outcome measures in patients DB using 3-dimensional (3D) imaging, most reports rely on either subjective or 2-dimensional analyses. Furthermore, longitudinal assessment head shape improvement over course has not been documented. Our goal was to assess molding 3D surface and document pace during treatment.The 18 who underwent orthotic assessed. The scans were obtained...
A literature gap exists comparing whole head shape outcome following correction of sagittal craniosynostosis. The objective this multicenter study was to provide an analysis long-term results three different endoscopic strip craniectomy techniques for craniosynostosis: 1) spring-assisted craniectomy, 2) wide-strip with biparietal and bitemporal barrel-stave wedge osteotomies plus helmet orthosis, 3) narrow-strip orthosis without barrel staves.Pre- postoperative 3D stereophotogrammetric...
Objective To determine if preoperative velopharyngeal closure percentage (VCP) is predictive of successful Furlow double opposing Z-plasty (DOZP) and subsequently the optimal cutoff for DOZP. Design Retrospective study Setting Tertiary academic center Patients 110 patients with repaired cleft lip palate having hypernasality treated DOZP Interventions Speech videofluoroscopy images were used to obtain VCP other measurements. Main Outcome Measures Changes in scores using Cleft Audit Protocol...
Alveolar bone grafting (ABG) in bilateral cleft lip and palate (BCLP) patients provides a reconstructive challenge. We present novel technique of combining autologous iliac crest graft (ICBG) with recombinant human morphogenic protein 2 (rhBMP-2) cellular matrix (CBM) for ABG BCLP patients. Complete fill occurred 90% patients, 100% having canine eruption. No required repeat ABG, no significant complications were reported. The alveolar gap volume significantly decreased an improvement 75.87%....
The approach to bony craniofacial reconstruction has been significantly enhanced with the development of patient-specific, computer-aided designed and manufactured (CAD/CAM) implants. This technology, however, not yet widely employed for soft tissue reconstruction. While algorithmic approaches based on size, location, etiology defect are effective in most cases, a patient-specific CAD/CAM benefits complex reconstructive problems. In this study, we present preoperative flap planning: using...
Aim: Metopic craniosynostosis (MCS), with its trigonocephalic head shape, is often treated either limited incision strip craniectomy (LISC) followed by helmet orthotic treatment, or open cranial vault reconstruction techniques (OCVR). There controversy regarding resultant shape outcomes among craniofacial surgeons. Those adverse to LISC claim normal never attained, while proponents believe there gradual correction an equivalent outcome. This study aims quantitate, over time, the...
Background: Each program in the highly competitive match for a surgical residency needs way to review applicants effectively. Often this task is undertaken by individual faculty members, reviewing an applicant’s file and assigning score. Despite being asked rate on standardized scale, our found that ratings of same varied dramatically, with certain consistently scoring higher or lower than others. This termed leniency bias, Hawk-Dove effect, can affect who invited interview depending which...