A5023422804- Cleft Lip and Palate Research
- Craniofacial Disorders and Treatments
- Surgical Simulation and Training
- Tracheal and airway disorders
- Simulation-Based Education in Healthcare
- Anatomy and Medical Technology
- Innovations in Medical Education
- Delphi Technique in Research
- Breast Implant and Reconstruction
- Breast Lesions and Carcinomas
- Nasal Surgery and Airway Studies
- Airway Management and Intubation Techniques
- Reconstructive Surgery and Microvascular Techniques
- Breast Cancer Treatment Studies
- Reconstructive Facial Surgery Techniques
- Congenital Anomalies and Fetal Surgery
- Congenital Ear and Nasal Anomalies
- Cardiac, Anesthesia and Surgical Outcomes
- Diversity and Career in Medicine
- Facial Trauma and Fracture Management
- Anesthesia and Pain Management
- Hospital Admissions and Outcomes
- Dental Education, Practice, Research
- Oral and Craniofacial Lesions
- Interdisciplinary Research and Collaboration
Boston Children's Hospital
2016-2024
Harvard University
2016-2024
Boston Children's Museum
2018-2023
Rogers (United States)
2023
Creative Commons
2018-2022
Hasbro Children's Hospital
2021-2022
Brown University
2021-2022
Rhode Island Hospital
2021-2022
Temple University
2019-2022
Beth Israel Deaconess Medical Center
2021
Patient-specific three-dimensional (3D) models are increasingly used to virtually plan rare surgical procedures, providing opportunity for preoperative preparation, better understanding of individual anatomy, and implant prefabrication. The purpose this study was assess the benefit 3D related patient safety, operative time, cost.Retrospective review.Academic, tertiary care hospital.Midfacial distraction studied as a representative craniofacial operation. A consecutive series 29 patients who...
To describe the conduct of first multidisciplinary simulation-based workshop in Middle East/North Africa region and evaluate participant satisfaction.Cross-sectional survey-based evaluation.Educational comprehensive cleft care workshop.Total 93 participants from over 20 countries.Three-day educational workshop.Number participants, number stratified by specialty, satisfaction with workshop, staff, staff specialty.The included countries. The response rate was 47.3%, reported high all aspects...
Summary: Simulation is becoming an increasingly important tool for hands-on surgical education in a no-risk environment. Cleft lip repair common procedure where precise technique needed to achieve optimal outcome, making it ideal candidate simulation. A digital simulated patient with typical unilateral complete cleft and alveolus was constructed using existing three-dimensional imaging studies. Key surface internal anatomical elements were characterized detail. prototype high-fidelity...
Residents in many surgical disciplines express a strong preference for hands-on learning, but no studies have focused on plastic surgery. This initial study aims to ascertain the learning styles of surgery residents, and identify potential trends that may better guide curriculum development.Kolb Learning Style Index v. 3.1 was administered residents across all training levels at three residency programs. The Kolb is 12-item questionnaire characterizes an individual's style into 1 4 major...
BACKGROUND: The CLEFT-Q, a questionnaire developed and validated specifically for cleft patients, contains 7 ‘appearance’ scales. ICHOM (International Consortium of Health Outcomes Measurement) has incorporated only some Cleft-Q scales in the Standard Set to minimize burden. This study evaluates which provide most meaningful information different types at specific ages, efficient appearance outcome assessment. METHODS: Within this international multicentre study, outcomes were collected,...
Background: Prenatal magnetic resonance imaging is increasingly used to detect congenital anomalies. The purpose of this study was determine whether prenatal accurately characterizes features predictive postnatal Robin sequence so that possible airway compromise and feeding difficulty at birth can be anticipated. Methods: authors retrospectively identified pregnant women who underwent fetal between 2002 2014 were found carrying a fetus with micrognathia. Micrognathia subjectively categorized...
Objective: To identify barriers and facilitators to international implementation of a prospective system for standardized outcomes measurement in cleft care. Design: Cleft teams that have implemented the International Consortium Health Outcomes Measurement Standard Set care were invited participate this 2-part qualitative study: (1) an exploratory survey among clinicians, health information technology professionals, project coordinators, (2) semistructured interviews leads. Thematic content...
ABSTRACT The human face has the greatest mobility and facial display repertoire among all primates. However, variables that account for this are not clear. Humans other anthropoids have remarkably similar mimetic musculature. This suggests differences muscles alone may increased seen in humans. Furthermore, themselves outpace prosimians these categories: humans > prosimians. study was undertaken to clarify morphological underpinnings of by investigating SMAS (the superficial...
Orbital floor fractures can produce acute constitutional symptoms and poor ocular outcomes. This study aims to determine the clinical radiological predictors of tissue entrapment in pediatric orbital explore effect operative timing on The authors reviewed medical records from patients with 2007 2015. One hundred fifty-two 159 were included. twenty-two (80.3%) male, mean age was 12.2 years. Twelve sustained entrapment. At presentation extraocular movement (EOM) restriction, diplopia, nausea,...
ObjectivesThe aim of this study was to evaluate the psychometric performance patient- and parent-reported measures in International Consortium for Health Outcomes Measurement (ICHOM) Standard Set Cleft Care, identify ways improving concept coverage.MethodsData from 714 patients with cleft lip and/or palate, aged 8 9, 10 12.5, 22 years were collected between November 2015 April 2019 at Erasmus University Medical Center, Boston Children’s Hospital, Duke participating sites CLEFT-Q Phase 3...
To assess the ability of a cleft-specific multi-site learning health network registry to describe variations in cleft outcomes by phenotypes, ages, and treatment centers. Observed were assessed for coherence with prior study findings.Cross-sectional analysis prospectively collected data from 2019-2022.Six centers systematically during routine clinic appointments according standardized protocol.714 English-speaking children adolescents non-syndromic lip/palate.Routine multidisciplinary care...
Background: Underrepresentation of women in plastic surgery remains a concern. This study investigates gender-related differences self-confidence and surgical ability among trainees an effort to work toward gender parity. Methods: Residents fellows were recorded performing up three cleft lip repairs on high-fidelity simulator. Demographic information was collected, two questionnaires completed assess after each simulation. Videos rated blindly using the objective structured assessment...
The traditions of surgical education have changed little over the years. However, increasing focus on patient safety and duty hour restrictions mandates that residents start developing complex skill sets earlier to ensure they graduate with procedural competency. Surgical training is poised exploit high-fidelity simulation technology mitigate these pressures.By revisiting principles adult learning theory, authors created a "bootcamp-style" cleft lip curriculum sought (1) maximize educational...
BACKGROUND: For patients with cleft lip/palate, adolescence is a time of maxillofacial growth and complex psychosocial stressors. The personal significance facial differences may change, making patient-reported outcomes measures (PROMs) invaluable. In this study, we use several scales from CLEFT-Q™ FACE-Q™ to explore how aesthetic differ by age sex among unilateral lip/palate. MATERIALS AND METHODS: This was multi-center, cross-sectional study that prospectively collected data across six...
Background: Demonstrating competency before independent practice is increasingly important in surgery. This study tests the hypothesis that a high-fidelity cleft lip simulator can be used to discriminate performance between training levels, demonstrating its utility for assessing procedural competence. Methods: During this prospective cohort study, participants performed unilateral repair on simulator. Videos were blindly rated using Objective Structured Assessment of Technical Skills...
Aplasia cutis congenita (ACC) is a rare condition often presenting as an absent area of cutaneous scalp. The calvarium and dura may also be affected. Scalp reconstruction with tissue expansion needed for large defects. Patients involving deficient calvarial bone present dilemma the reconstructive surgeon, because graft donor sites are limited in young children.A thick, bony rim has been noted to form around periphery scalp expanders. authors series 3 patients ACC whom this hyperostosis was...
Objective evaluation of operative performance is increasingly important in surgical training. Evaluation tools include global rating scales and procedure-specific skills checklists. For unilateral cleft lip repair, the numerous techniques make universal challenging. Thus, we sought to create a tool agnostic specific repair technique.Four surgeons with expertise 3 common participated 3-round Delphi process generate consensus points spanning all techniques. Items were categorized as marking...
Background: This study aims to characterize incidental microscopic findings in this population determine whether there is a benefit routine histopathologic examination of breast tissue young women. Methods: A retrospective review women who underwent reduction mammaplasty between June 2010 and May 2018 was performed at single institution identify demographics, age the time surgery, cancer risk factors, pathologic data. Histologic reevaluation when diagnostic clarification needed. Descriptive,...