Abstract Background Although lipedema is often clinically distinguished from lymphedema, there considerable overlap between the two entities. The purpose of this study was to evaluate lymphoscintigraphic findings in patients with better characterize lymphatic flow patient population. Methods Patients receiving lymphoscintigraphy January 2015 and October 2017 were included. Patient demographics, clinical characteristics, extracted. Klienhan's transport index (TI) utilized assess patient's...

Cleft lip and/or palate affects approximately one in 700 live births. Optimal timing for repair of cleft has yet to be objectively validated. Earlier takes advantage a high degree plasticity within the nasal cartilage and maxilla. The authors present patients enrolled an early protocol facilitating effective nostril.American Society Anesthesiologists class I II with unilateral undergoing before 3 months age were over 5 years. Perioperative data, surgical anesthetic complications,...

Objective: To identify factors associated with late cleft repair at a US tertiary children’s hospital. Design: Retrospective study of children CL/P using Children’s Hospital Los Angeles (CHLA) records. Setting: Patients/Participants: Patients undergoing primary CL or CP CHLA from 2009 to 2018. Main Outcome Measures: Proportion who had delayed and American Cleft Palate-Craniofacial Association (ACPA) guidelines surgery. Results: In total, 805 patients—503 (62.5%) repair, 302 (37.5%)...

Abstract Excisions of scalp nevus sebaceous (NS) presents a unique challenge due to limited soft tissue laxity, hair-bearing skin, and convex surfaces which often leave the surgeon patient underwhelmed with reconstructive outcome. In this study, authors conducted an institutional review board-approved retrospective patients who underwent excision pathologically proven primary NS from 2003 2017 at our institution better define outcomes options for treatment pediatric NS. 92 were included in...

Midface hypoplasia dramatically affects the normative facial cascade. Simultaneous Le Fort III and I procedures (Le III/I) provide a powerful tool for achieving significant midface advancement. This study presents authors' approach addressing in setting of class malocclusion using III/I advancement.This was an institutional review board-approved retrospective patients who underwent advancement at institution from 2009 to 2019. Demographic, surgical, postoperative data were recorded. The...

Prediction and early intervention for hypocalcemia following parathyroidectomy total thyroidectomy can decrease hospital cost prevent severe hypocalcemia-related complications. This study aims to predict the severity of after or stratify patients into groups with different levels risk developing hypocalcemia, so that higher may be monitored more closely receive earlier interventions.This was a retrospective cohort 100 primary hyperparathyroidism who underwent as treatment modality at...

Background: Geometric morphometric analysis with Procrustes superimposition is an advanced computational tool that can be used to quantify dynamic changes in complex three-dimensional structures. The present study couples high resolution CT imaging a Morphometric approach order further understand the dysmorphology occurs unilateral coronal synostosis (UCS). Methods: Forty-one UCS patients and 41 age- sex-matched controls received high-resolution imaging. Thirty-one anatomical landmarks were...

Background: In severe cases of maxillary hypoplasia, Le Fort I distraction may be required for treatment. This study describes our experience with internal devices and assesses outcomes in patients a negative overjet on average >15 mm. Methods: A retrospective review history cleft lip and/or palate who underwent at institution from 11/2007-11/2017 was performed. Data regarding demographics, procedural details were collected analyzed. Results: Twenty patients, 13 (65.0%) male 7 (30.0%)...

Background Fat grafting is a common adjunct procedure used to treat temporal fat hollowing in children with craniofacial anomalies. The goal of this study was assess the surgical and aesthetic outcomes procedure. Methods We retrospectively reviewed patients who underwent at single tertiary pediatric center. outcome assessed based on intraoperativeand 30-day postoperative complication rates. by 3 independent investigators using 3-point grading scale for preoperative severity (1 = mild, 2...

Geometric morphometric analysis with Procrustes superimposition is a commonly used method to characterize and study complex dysmorphology. The present employs an advanced Procrustes-based approach studying craniofacial dysmorphology in unilateral coronal synostosis quantitatively describe bony patterns this disorder, order better understand the associated fronto-orbital sphenotemporal deformities.Forty-one (UCS) patients 41 age- sex-matched controls underwent high-resolution computed...

Treatment of Fournier's gangrene often requires extensive surgical debridements that can ultimately necessitate penile amputation. Reconstruction be challenging as these patients tend to have medical comorbidities deeming them poor microsurgical candidates. resulting in penectomy is an infrequent occurrence, and treatment with phalloplasty rarely described the literature. Herein, we present a case 60-year-old male poorly controlled diabetes mellitus who developed July 2017. His course...

Background Although combined monobloc facial bipartition with distraction (MFBD) may simultaneously correct multiple dimensions in patients syndromic craniosynostoses, complication risks limit its use. This study reassesses MFBD complications and outcomes to compare safety efficacy (MD) (FB) alone. Methods A retrospective review of MFBD, MD, FB cases for 10 years at a tertiary children's hospital was performed. Patient demographics surgical variables were compared between cohorts....

Background: Unilateral coronal craniosynostosis (UCS) is a congenital disorder resulting from the premature suture fusion, leading to complex primary and compensatory morphologic changes in shape of not only calvarium but also into skull base. This deformity typically requires surgery correct prevent neurologic sequelae, including increased intracranial pressure, sensory deficits, cognitive impairment. Methods: The present multicenter study sought reverse-engineer bone dysmorphogenesis seen...

Abstract Congenital and pediatric nasal lesion resection their reconstructive outcomes are not well studied. A surgeon must consider the site, size, depth, etiology, age, effect on future function (including growth). As such, it is important to contrast differences between adult's child's nose. The authors propose that more conservative methods may better serve congenital lesions. An Internal Review Board approved study of lesions using a defect only approach from 2005 2017 was performed....

BACKGROUND: Orofacial clefts are a prevalent birth defect that affects approximately 7.75 neonates out of every 10,000 live births. The optimal timing for repair the cleft lip has yet to be objectively validated and previous supporting evidence guiding ideal may outdated. Earlier takes advantage high degree plasticity within nasal cartilage maxilla as result concentrations circulating maternal estrogen in infant.1 Accomplishing operative infancy capacity decrease restrictive scar formation,...

BACKGROUND: Early cleft lip repair (ECLR) can be performed safely and effectively. One persistent question is whether ECLR may offered to wide unilateral complete clefts who historically would have received nasoalveolar molding (NAM). This study aims compare the preoperative severity of patients those underwent NAM pretreatment postoperative outcomes. METHODS: Unilateral CL (January 1, 2005, September 11, 2018) were retrospectively reviewed divided into 2 groups: (age <3 months) presurgical...

Abstract Congenital syngnathia is a very rare condition that presents with several unique challenges. There no consensus on the best operative approach to manage this condition. Readhesion of surgically separated tissues relatively common occurrence. The authors propose use vertical distraction technique helps maintain adequate separation prevent relapse bony fusion. Long-term follow-up will be required follow mandibular growth and implications treatment option.

Abstract We present two cases of thalamic infarction presentation with aphasia, which has rarely been documented in the literature. Of interest, second case presented a lesion non-dominant thalamus, made finding speech impairment exceedingly rare. Anomic aphasia associated lesions to basal temporal lobe, anterior inferior temporo-parieto-occipital junction and parietal but association thalamus. Thalamic strokes most often motor, sensory, cognitive deficits; few reports medical literature...