- Breast Implant and Reconstruction
- Breast Cancer Treatment Studies
- Craniofacial Disorders and Treatments
- Cleft Lip and Palate Research
- Reconstructive Surgery and Microvascular Techniques
- Biomedical Text Mining and Ontologies
- AI in cancer detection
- Angiogenesis and VEGF in Cancer
- COVID-19 and healthcare impacts
- Lymphatic System and Diseases
- Body Contouring and Surgery
- Cancer survivorship and care
- Head and Neck Surgical Oncology
- Nasal Surgery and Airway Studies
- Surgical Simulation and Training
- Radiomics and Machine Learning in Medical Imaging
- Anatomy and Medical Technology
- Clinical practice guidelines implementation
- Global Cancer Incidence and Screening
- Reconstructive Facial Surgery Techniques
- Digital Imaging in Medicine
- Trauma Management and Diagnosis
- Augmented Reality Applications
- Wound Healing and Treatments
- Cardiac, Anesthesia and Surgical Outcomes
University of British Columbia
2018-2025
Ethics and Public Policy Center
2023
University of Manitoba
2022
University of Calgary
2022
Breast Center
2021
Boston Children's Hospital
2017-2019
Harvard University
2018-2019
Children's National
2018
Boston Children's Museum
2018
University of Toronto
2005-2017
OBJECTIVE Comparative effectiveness studies are needed for analyzing the clinical outcomes of treatment sagittal craniosynostosis (SC) with endoscopic suturectomy (ES) or cranial vault remodeling (CVR). METHODS From 2004–2015, patients were consecutively reviewed and data recorded operative details complications. Cranial growth was measured by head circumference percentile (HCP) index (CI) Z-score. Aesthetic compared using Whitaker classification. RESULTS A total 207 nonsyndromic SC treated...
Post mastectomy radiotherapy (PMRT) is an independent predictor of reconstructive complications. PMRT may alter the timing and type reconstruction recommended. This study aimed to create a machine learning model predict probability requiring after immediate breast (IBR).
Introduction Up to one-fifth of breast cancer survivors will develop chronic cancer-related lymphoedema (BCRL). To date, complex physical decongestion therapy (CDT) is the gold standard treatment. However, it mainly symptomatic and often ineffective in preventing BCRL progression. Lymphovenous anastomosis (LVA) vascularised lymph node transfer (VLNT) are microsurgical techniques that aim restore lymphatic drainage. This international randomised trial aims evaluate advantages interventions...
This Surgical Innovation explores the potential that wearable augmented reality devices have for improving intraoperative imaging, patient outcomes, and surgical workflows.
Comparative effectiveness research is needed to optimize treatment of unilateral coronal synostosis. This study compares perioperative morbidity, ophthalmic, and aesthetic outcomes patients with nonsyndromic synostosis treated by endoscopic suturectomy or fronto-orbital advancement.From 2004 2015, were reviewed data recorded for operative details, reoperations, results using the Whitaker classification, severity strabismus, need surgical correction. Categorical analyzed Fisher's exact test...
Circulating angiogenic cells (CACs), represent a potential new therapeutic tool for the treatment of cardiovascular diseases, but their regenerative function is impaired in patients with coronary artery disease (CAD) and cardiac risk factors. The objective this study to assess effect lentiviral overexpression endothelial nitric oxide synthase (eNOS) on activity CACs from CAD In vitro vivo assays were employed evaluate capacity compared derived healthy volunteers. Lentiviral eNOS transduction...
We describe our current technique of drainless abdominoplasty using barbed progressive tension sutures. The perioperative management and detailed steps procedure are outlined, including indications for concomitantly performing liposuction repair diastasis the rectus abdominis muscles. This approach reliably improves abdominal contour, minimizes complications, is straightforward to learn perform.
After studying this article, the participant should be able to: 1. Appraise and evaluate risk factors for respiratory compromise following oncologic resection. 2. Outline apply an algorithmic approach to reconstruction of chest wall based on defect composition, size, characteristics surrounding tissue. 3. Recognize indications types skeletal stabilization wall. 4. Critically consider, compare, select pedicled free flaps that do not impair residual function or stability.Chest restores...
Manually extracted data points from health records are collated on an institutional, provincial, and national level to facilitate clinical research. However, the labour-intensive chart review process puts increasing burden healthcare system budgets. Therefore, automated information extraction is needed ensure timeliness scalability of research data.
Outcomes in aesthetic breast surgery are dependent on preoperative measurements. The accuracy of 3-dimensional (3D) imaging measuring critical landmarks augmentation mammaplasty has not been described.We aimed to determine the predictability 3D compared direct measurements.Two raters measured breasts 28 women using four anthropometric (direct) measurements: sternal notch nipple distance (Sn-N), midline (N-M), inframammary-fold under maximal stretch (N-IMF), and base width (BW). Measurements...
Background: The COVID-19 pandemic has led to unprecedented challenges and restrictions in surgical access across Canada, including for breast reconstructive services which are an integral component of comprehensive cancer care. We sought determine how being restricted, what strategies may be employed optimize the provision reconstruction through a pan-Canadian evaluation from providers’ perspective. Methods: This was cross-sectional survey Canadian plastic surgeons who perform...
Background: Breast reconstructive services are medically necessary, time-sensitive procedures with meaningful health-related quality of life benefits for breast cancer survivors. The COVID-19 global pandemic has resulted in unprecedented restrictions surgical access, including access to services. A national approach is needed guide the strategic use resources during times fluctuating on due demands hospital capacity. Methods: team experts were convened critical review healthcare needs and...
Patient outcomes in aesthetic breast surgery are highly dependent on measurements used preoperative planning. The purpose of this study is to determine the reliability anthropometric measurements. Four raters measured 28 women using 7 measurements: sternal notch nipple distance (Sn-N), midline (N-M), inframammary-fold under maximal stretch (N-IMF), base width (BW), soft tissue pinch thickness upper pole (STPT:UP), STPT at inframammary fold (STPT:IMF), and anterior pull skin (APSS)....
PURPOSE Breast cancer relapses are rarely collected by registries because of logistical and financial constraints. Hence, we investigated natural language processing (NLP), enhanced with state-of-the-art deep learning transformer tools large models, to automate relapse identification in the text computed tomography (CT) reports. METHODS We analyzed follow-up CT reports from patients diagnosed breast between January 1, 2005, December 31, 2014. The were curated annotated for presence or...
Following an all-night fast, 45 patients with Parkinson9s disease were examined using certain motor items present in the United Disease Rating Scale. All given a single tablet of carbidopa 25 mg and levodopa 250 re-examined 90 minutes later. In addition to this evaluation, 23 these underwent further scoring over 4-hour period. A significant negative correlation was found between age one important aspect drug-derived benefit: magnitude response. contrast, had no apparent influence on duration...
Background: After repair of unilateral cleft lip, lateral drift the alar base is expected and may require revision. Although appears wider than on noncleft side, by measurement it could be symmetric or narrow. Is this an optical illusion? Methods: This a retrospective photographic evaluation children who underwent complete lip palate. On submental standardized photographs, raters judged whether position was wider, equal to, narrower side. The true measured photogrammetry frequency...
Objective: Infants with syndromic cleft lip and/or palate (CL/P) often require more complex care than their nonsyndromic counterparts. Our purpose was to (1) determine the prevalence of CL/P in patients CHARGE syndrome and (2) highlight factors that affect management this subset children. Design: This is a retrospective review from 1998 2016. Patients: Patients were diagnosed clinically genetically. Main Outcomes Measures: Prevalence determined clinical details tabulated: phenotypic...
Sagittal synostosis is the most common form of single suture synostosis. It often results in characteristic calvarial deformities, including a long, narrow head, frontal bossing, bullet-shaped occiput, and an anteriorly placed vertex. Several methods for correcting phenotypic deformities have been described, each with their own advantages challenges. In this study, we describe modification Melbourne method total remodeling scaphocephaly.We conducted retrospective review all consecutive...
Prominent scars and contractures may form along the seams between adjacent skin grafts. Seams be constructed either by approximating graft edges (AP), or slightly overlapping (OV), but it is not known if one technique creates a less conspicuous seam scar. The purpose of this study was to compare using AP OV techniques. This prospective within-patient within-seam controlled in adult burn patients treated at an American Burn Association-verified center. At application construction, were...