- Cleft Lip and Palate Research
- Craniofacial Disorders and Treatments
- Facial Trauma and Fracture Management
- Orthodontics and Dentofacial Orthopedics
- Reconstructive Surgery and Microvascular Techniques
- Breast Implant and Reconstruction
- Nasal Surgery and Airway Studies
- Facial Rejuvenation and Surgery Techniques
- Head and Neck Cancer Studies
- Tracheal and airway disorders
- Management of metastatic bone disease
- Oral health in cancer treatment
- Head and Neck Surgical Oncology
- Optical Coherence Tomography Applications
- Mesenchymal stem cell research
- Facial Nerve Paralysis Treatment and Research
- Diversity and Career in Medicine
- Photoacoustic and Ultrasonic Imaging
- Ultrasound Imaging and Elastography
- Traumatic Ocular and Foreign Body Injuries
- Breast Cancer Treatment Studies
- Sex and Gender in Healthcare
- Meningioma and schwannoma management
- Dental Implant Techniques and Outcomes
- Nerve Injury and Rehabilitation
University of Washington Medical Center
2023-2024
Seattle Children's Hospital
2010-2024
University of Washington
2019-2024
Seattle University
2010-2024
Harborview Medical Center
2021-2024
University of Michigan–Ann Arbor
2012-2023
Creative Commons
2016-2022
Florida Craniofacial Institute
2019-2022
University of Toledo
2019
Michigan Medicine
2017-2018
Background: There is controversy regarding whether the frontal bossing associated with sagittal synostosis requires direct surgical correction or spontaneously remodels after isolated posterior cranial expansion. The authors retrospectively measured changes in bone morphology patients 2 years open and midvault expansion compared these those occurring age-comparable healthy control groups. Methods: Forty-three age 1 year younger (mean, 6 months) underwent computed tomography scan digital...
Abstract Skin broadly protects the human body from undesired factors such as ultraviolet radiation and abrasion helps conserve temperature hydration. Skin’s elasticity its level of anisotropy are key to aesthetics function. Currently, however, treatment success is often speculative subjective, rarely based on skin’s elastic properties because there no fast accurate non-contact method for imaging elasticity. Here we report a non-invasive image characterize anisotropy. It combines acoustic...
Orthognathic surgery has evolved significantly over the past century. Osteotomies of midface and mandible are contemporaneously used to perform independent or coordinated movements address functional aesthetic problems. Specific advances in twenty years include increasing fidelity with computer-assisted planning, use patient-specific fixation, expanding indications for management upper airway obstruction, shifts orthodontic-surgical paradigms. This review article serves highlight...
Introduction In patients who require additional surgery for velopharyngeal insufficiency (VPI), a higher incidence of obstructive sleep apnea (OSA) may be incurred. Although this phenomenon has been demonstrated with the posterior pharyngeal flap, effect dynamic sphincter pharyngoplasty (DSP) on OSA is less clear. The purposes case series were to (1) determine after DSP, (2) assess changes in polysomnography and (3) identify risk factors development DSP. Our global hypothesis that VPI exist...
Le Fort III distraction requires generation of bone in the pterygomaxillary region. The authors performed retrospective digital analysis on temporal fine-cut computed tomographic images to quantify both radiographic evidence region formation and relative maxillary stability.Fifteen patients with syndromic midface hypoplasia were included study. average age was 8.7 years; 11 had either Crouzon or Apert syndrome. displacement maxilla during 16.2 mm (range, 7 31 mm). Digital scans before...
Approximately 6.3 million fractures occur in the U.S. annually, with 5-10% resulting debilitating nonunions. A major limitation to achieving successful bony union is impaired neovascularization. To augment fracture healing, we designed an implantable drug delivery technology containing angiogenic stimulant, deferoxamine (DFO). DFO activates new blood vessel formation through iron chelation and upregulation of HIF-1α pathway. However, due its short half-life rapid clearance, maintaining at...
Background: Distraction advancement has been advocated for treatment of obstructive sleep apnea associated with congenital midface hypoplasia. The purpose this study was to relate changes in maxillary position measures on polysomnography a consecutive series patients. Methods: Among 26 syndromic pediatric patients undergoing Le Fort III distraction over 5-year period, 15 had documented an hypopnea index greater than 5. Linear and angular displacement key bone landmarks were measured using...
Breast cancer is most commonly managed with a combination of tumor ablation, radiation, and/or chemotherapy. Despite the oncologic benefit these treatments, detrimental effect radiation on surrounding tissue challenges attainment ideal breast reconstruction outcomes. The purpose this study was to determine ability topical deferoxamine (DFO) reduce cutaneous ulceration and collagen disorganization following radiotherapy in murine model expander-based reconstruction.
Ocular abnormalities in craniosynostosis are a persistent concern for patients and providers, some surgeons feel that early surgical intervention synostosis alleviates the progression of ophthalmologic abnormalities. In contradistinction, authors hypothesize operating will have no bearing on postoperative outcomes.
To discuss technical modifications specific to the cleft Le Fort I osteotomy that improve mobilization and demonstrate stability of maxilla at level in a cohort patients with palate (with or without lip) who underwent traditional maxillary advancement.This was retrospective evaluation (+/- orthognathic surgery for management skeletal malocclusions. All study subjects had +/- bilateral mandibular sagittal split osteotomies. The technique is modified extensively release fibrous tissue scar...
PURPOSE: To evaluate whether the sequence of osteotomies influences accuracy maxillary positioning in patients with cleft palate ± lip undergoing bimaxillary orthognathic surgery (OGS). METHODS: This was a prospective study Veau 2-4 clefts who underwent OGS at tertiary-care children’s hospital over 3-year period. The primary predictor variable (maxilla-first versus mandible-first). outcome interest concordance between planned and achieved position, as assessed using linear angular...
Submucous cleft palate (SMCP) is the most common form of involving posterior palate, resulting in variable degrees velar dysfunction and speech disturbance. Although early surgical intervention indicated for patients with true indications palatoplasty timing SMCP remain controversial.Twenty-nine were retrospectively reviewed. Patients treated Furlow dichotomized based on patient age at time correction into development late development. Primary outcome measures included standardized...
Implicit bias can lead to discrimination of certain populations within healthcare. Representation in medical literature is no exception and it hypothesized that images with lighter skin tone are more prevalent than darker tones craniofacial literature. Clinical photographs figure graphics from 5 journals were examined for pre-defined years. Annals Plastic Surgery, Aesthetic Surgery Journal, Journal Craniofacial Plastic, Reconstructive reviewed. All craniofacial-focused articles containing at...