A5082681218- Craniofacial Disorders and Treatments
- Cleft Lip and Palate Research
- Facial Trauma and Fracture Management
- Tracheal and airway disorders
- Head and Neck Surgical Oncology
- Reconstructive Surgery and Microvascular Techniques
- Diversity and Career in Medicine
- Traumatic Ocular and Foreign Body Injuries
- Dental Radiography and Imaging
- Reconstructive Facial Surgery Techniques
- Advances in Oncology and Radiotherapy
- Traumatic Brain Injury and Neurovascular Disturbances
- Anatomy and Medical Technology
- Facial Nerve Paralysis Treatment and Research
- Health and Medical Research Impacts
- Orthodontics and Dentofacial Orthopedics
- Wound Healing and Treatments
- History of Medical Practice
- dental development and anomalies
- Spinal Fractures and Fixation Techniques
- Surgical Simulation and Training
- Nasal Surgery and Airway Studies
- Breast Implant and Reconstruction
- Dental Education, Practice, Research
- Diabetic Foot Ulcer Assessment and Management
University of Pittsburgh Medical Center
2016-2025
Neurological Surgery
2016-2025
Children's Hospital of Pittsburgh
2015-2024
University of Pittsburgh
2015-2024
UPMC Health System
2022-2024
Creative Commons
2017-2023
Virginia Commonwealth University
2014-2023
Yale University
2022
Baystate Medical Center
2019-2020
University of Massachusetts Chan Medical School
2020
<h3>BACKGROUND:</h3> Patients with cleft lip and/or palate can undergo numerous procedures to improve appearance, speech, dentition and hearing. We developed a cleft-specific patient-reported outcome instrument facilitate rigorous international measurement benchmarking. <h3>METHODS:</h3> Data were collected from patients aged 8–29 years at 30 hospitals in 12 countries between October 2014 November 2016. Rasch theory analysis was used refine the scales examine reliability validity. Normative...
Background: Posterior cranial vault distraction osteogenesis has replaced fronto-orbital advancement in some centers as the first-line treatment patients with syndromic craniosynostosis. Despite this fact, little been written about its craniometric effects on children Methods: A retrospective review of all who underwent posterior was performed. Patient demographic, perioperative data, and preoperative/postoperative computed tomographic scans were reviewed. Volumetric indices calculated...
In Brief Background: The exact risk that poor glucose control introduces to patients undergoing surgical closure has yet be fully defined. Methods: authors retrospectively analyzed a prospectively collected database of seen at their wound care center evaluate the effects chronic and perioperative in high-risk closure. Hemoglobin A1c blood levels for 5 days before after were recorded compared with primary endpoints dehiscence, infection, reoperation. Univariate multivariate analyses...
Background: This study reports long-term aesthetic outcomes with fronto-orbital advancement and cranial vault remodeling in treating unicoronal synostosis over a 35-year period. Methods: Retrospective review was performed on patients isolated from 1977 to 2012. Demographic, preoperative phenotypic, data were analyzed chi-squared Fisher’s exact test for categorical Wilcoxon rank-sum Kruskal-Wallis rank continuous data. Results: A total of 238 treated; 207 met inclusion criteria. None...
Jesse Goldstein. Cambridge, MA: MIT Press, 2018. 232 pp., figures, index. $25.00 paper (ISBN 9780262535076).We are delighted to introduce this forum on Goldstein's Planetary Improvement: Clea...
Background: The purpose of this study was to demonstrate the impact bilateral free flap breast reconstruction on abdominal wall. This is second installation a two-part series. Presented here are combinations three techniques: muscle-sparing transverse rectus abdominis musculocutaneous (TRAM) flap, deep inferior epigastric perforator (DIEP) and superficial artery (SIEA) flap. Methods: A blinded prospective cohort performed involving 234 patients. Patients were evaluated preoperatively for 1...
The purpose of this study is to evaluate the effect Negative Pressure Wound Therapy (NPWT) on closed surgical incisions. We performed a prospective randomized controlled clinical trial comparing NPWT standard dry dressings incisions.Patients presenting high-volume wound center were receive either V.A.C. (KCI, San Antonio, TX) or dressing over their incision at conclusion surgery. These primarily high-risk patients with multiple comorbidities. 2 groups compared, and all incisions evaluated...
Background: The authors evaluated the complications, revisions, and long-term aesthetic outcomes of patients with isolated metopic synostosis. Methods: A retrospective chart review was performed on consecutive craniosynostosis treated from June 1987 to 2012 at Children's Hospital Philadelphia. Patient demographics, operative details, postoperative data were collected. Outcomes reported as Whitaker classification clinical characteristics assessed before additional interventions. Reoperation...
Abstract: This essay provides an analysis of the “dirty” history and geography enclosure, as both instance primitive accumulation a production nature. Specifically, I reconsider English enclosures struggle over land‐use designation “waste”. Whereas open fields common waste lands were essential valuable part right economy, advocates enclosure came to see these same wasted commons; that potentially, but not yet, improved. dialectic potential permeates fabric nature produced through which name...
The standard for diagnosing metopic craniosynostosis (CS) utilizes computed tomography (CT) imaging and physical exam, but there is no standardized method determining disease severity. Previous studies using interfrontal angles have evaluated differences in specific skull landmarks; however, these measurements are difficult to readily ascertain clinical practice fail assess the complete contour. This pilot project employs machine learning algorithms combine statistical shape information with...
OBJECTIVE Patients with a history of surgery for single-suture craniosynostosis (SSC) as an infant often wish to participate in sports later childhood. However, there are no established guidelines from neurosurgeons and craniofacial surgeons guide parents which their child should or not participate. Therefore, this study aimed evaluate the attitudes practice patterns experienced regarding counseling caregivers these patients about participation. METHODS A survey was administered plastic...
The purpose of this two-part study was to demonstrate the impact free flap breast reconstruction on abdominal wall. In Part I, authors present results for unilateral techniques.A blinded, prospective, cohort performed involving 234 patients. Patients were evaluated preoperatively, and followed 1 year. At each encounter, patients underwent strength testing using Upper Lower Rectus Abdominis Manual Muscle Function Test, Functional Independence Measure, psychometric 36-Item Short-Form Health...
The spheno-occipital synchondrosis is an important driver of facial and cranial base growth. current study characterizes its fusion in patients with Apert, Crouzon, Pfeiffer syndromes correlates early the presence, degree, midface hypoplasia.A retrospective case-control was performed all syndromic treated between 1996 2012. Case computed tomographic scans age- sex-matched control were analyzed as demonstrating either open, partially fused, or completely fused synchondroses, patient age at...
Background: Measuring the patient perspective is important in evaluating outcomes of cleft care. Understanding how treatment vary depending on type may allow for better planning treatments, setting expectations, and more accurate benchmarking efforts. The CLEFT-Q a patient-reported outcome measure patients with lip and/or palate. Methods: 12 scales measuring appearance (i.e., face, nose, nostrils, lips, scar, teeth, jaws), function speech), health-related quality life psychological, school,...
To determine whether timing of palatoplasty (early, standard, or late) is associated with speech and language outcomes in children cleft palate.Retrospective case series.Tertiary care children's hospital.Records from 733 born between 2005 2015 treated at the Cleft Craniofacial Clinic a tertiary hospital were retrospectively reviewed. Exclusion criteria repair an outside hospital, intact secondary palate, absence postpalatoplasty evaluation, syndromes, staged palatoplasty, introduction to...
Background: The diabetic foot ulcer presents a therapeutic challenge with high rate of limb infection and extremity amputation. Adequate debridement stable coverage exposed structures are paramount to preserving length. authors reviewed their use collagen bilayer matrix in the population for preservation functional Salvage rates were stratified patient comorbidities severe peripheral arterial disease and/or persistent infection. Methods: A retrospective review was performed all consecutive...
Orthognathic surgery is a powerful tool to address skeletal discrepancies of the jaws; however, model and splint fabrication necessary successfully complete this are laborious time consuming. Previous studies have described utility computer-assisted surgical simulation (CASS) eliminate need for plaster cast surgery. This article evaluates implementation CASS system treatment planning in series 11 orthognathic patients. All patients were planned using computer-simulated osteotomies...
Advocates of biomimicry encourage a new industrial paradigm that ostensibly leaves behind the crude violence Francis Bacon, domination nature-as-machine, and history toxic production processes have given rise to present coming climate crisis. As part broader trend towards conceptualization development ‘bioeconomy’, we argue here produces ‘nature’ in ways. At face value, these approaches valuing nature may seem less violent exploitative. Yet, natures can are tortured We through well-worn...
Patients with syndromic craniosynostosis manifest midfacial hypoplasia often treated by advancement. Benefits of advancement distraction osteogenesis have been well studied; little is known about the perioperative morbidity these procedures, specifically relating to device selection. This study compares complications between semiburied- and halo-type midface. A retrospective review was performed on all patients who underwent midface or external distractors. Demographic information...
Patients with complete cleft lip and palate may benefit from adhesion or nasoalveolar molding before formal repair. The authors compared the relative costs to insurers of these two treatment modalities burden care families.A retrospective analysis was performed patients treated at Children's Hospital Philadelphia between January 2007 June 2012. Demographic, appointment, surgical data were reviewed; surgical, inpatient hospital, orthodontic charges obtained. Multivariate linear regression...
Cranial base development plays a large role in anterior and vertical maxillary growth through 7 years of age, the effect early endonasal cranial surgery on midface is unknown. The authors present their experience with pediatric endoscopic (EES) long-term growth.
Background: As rates of bilateral prophylactic mastectomy and contralateral have increased over the past decade, microvascular breast reconstruction has played an increasing role in cancer care. Data on unilateral flap failure reconstructions been lacking, strategies to address challenges encountered this situation are needed. Methods: A retrospective review all simultaneous performed by senior author (M.Y.N.) from July 1999 2008 was conducted. Flap failures were identified reviewed for...