A5036616693- Craniofacial Disorders and Treatments
- Cleft Lip and Palate Research
- Facial Trauma and Fracture Management
- Head and Neck Surgical Oncology
- Tracheal and airway disorders
- dental development and anomalies
- Reconstructive Surgery and Microvascular Techniques
- Traumatic Brain Injury and Neurovascular Disturbances
- Nasal Surgery and Airway Studies
- Diversity and Career in Medicine
- Global Health and Surgery
- Genetic Syndromes and Imprinting
- Reconstructive Facial Surgery Techniques
- Congenital Anomalies and Fetal Surgery
- History of Medical Practice
- Orthodontics and Dentofacial Orthopedics
- Evolutionary Psychology and Human Behavior
- Digital Imaging in Medicine
- Anatomy and Medical Technology
- Tumors and Oncological Cases
- Airway Management and Intubation Techniques
- Body Image and Dysmorphia Studies
- Obstructive Sleep Apnea Research
- Prenatal Screening and Diagnostics
- Cardiac, Anesthesia and Surgical Outcomes
Children's Hospital of Philadelphia
2016-2025
Pennsylvania State University
2020-2025
University of Pennsylvania
2015-2024
Philadelphia University
2015-2024
American Cleft Palate-Craniofacial Association
2015-2024
Creative Commons
2016-2023
Center For Reconstructive Urethral Surgery
2017-2023
Pennsylvania Hospital
2022-2023
University of Mississippi Medical Center
2021-2022
University of Zurich
2022
Care of the patient with cleft lip and/or palate remains complex. Prior attempts at aggregating data to study effectiveness specific interventions or overall treatment protocols have been hindered by a lack standards. There exists critical need better define outcomes-particularly those that matter most patients and their families-and standardize methods which these outcomes will be measured. This report summarizes recommendations an international, multidisciplinary working group regard...
Posterior cranial vault distraction osteogenesis has recently been introduced to treat patients with multisuture syndromic craniosynostosis and is believed provide greater gains in intracranial volume. This study provides volumetric analysis determine the volume produced by this modality.This was a two-center retrospective of preprocedure postprocedure computed tomography scans two groups 15 each treated either fronto-orbital advancement or posterior osteogenesis. Scan data were analyzed...
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...
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...
Learning Objectives: After studying this article, the participant should be able to: 1. Understand role of prenatal screening and counseling parents unborn children with syndromic craniosynostosis. 2. Recognize genetic abnormalities, craniofacial phenotype, associated anomalies, challenges each five major forms 3. Identify pros cons timing types cranial vault remodeling techniques in patient population. 4. risks benefits midface advancement Le Fort III, II plus zygomatic repositioning,...
Abstract Beckwith‐Wiedemann syndrome (BWS) is the most common epigenetic overgrowth and cancer predisposition disorder. Due to both varying molecular defects involving chromosome 11p15 tissue mosaicism, patients can present with a variety of clinical features, leading newly defined spectrum (BWSp). The BWSp be further divided into three subsets patients: those presenting classic isolated lateralized (ILO) not fitting previous two categories, termed atypical BWSp. Previous reports BWS have...
Background: The authors hypothesize that early posterior vault distraction osteogenesis safely confers considerable cranial remodeling, sufficient to enable fronto-orbital advancement be delayed a later age, with improved outcomes. Methods: conducted retrospective cohort study of children syndromic craniosynostosis treated before (2003 2008) or after (2009 2014) implementation osteogenesis. Results: Sixty presented during the period. Forty met inclusion criteria care continuity and complete...
Background: The purpose of this study is twofold: (1) to stratify preoperative risk factors that predict successful free flap salvage and (2) identify perioperative strategies correlate with salvage. Methods: A retrospective chart review was performed on all flaps from January 2005 April 2011. time until defined as the end initial procedure initiation attempt. primary endpoint, salvage, any did not result in total loss. Results: 2260 were reviewed, 47 take-backs for delayed microvascular...
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...
Medical students applying for plastic surgery residency utilize the Internet to manage their applications. Applicants often apply many programs and rely on advice from colleagues, mentors, information gathered websites (PSRWs). The purpose of present study was evaluate integrated combined PSRWs with respect accessibility, resident recruitment, education.Websites all 63 residencies available graduating medical during 2013 academic year were inclusion. Databases national bodies education...
Detecting elevated intracranial pressure in children with subacute conditions, such as craniosynostosis or tumor, may enable timely intervention and prevent neurocognitive impairment, but conventional techniques are invasive often equivocal. Elevated leads to structural changes the peripapillary retina. Spectral-domain (SD) optical coherence tomography (OCT) can noninvasively quantify retinal layers a micron-level resolution.To evaluate whether measurements from OCT serve an effective...
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...
The relationship between poverty and incidence of cleft lip palate remains unclear. authors investigated the association socioeconomic status with or without only in United States after controlling for demographic environmental risk factors.The U.S. 2016 2017 natality data were utilized. Proxies included maternal education, use Special Supplemental Nutrition Program Women, Infants, Children, payment source delivery. Multiple logistic regression controlled household demographics, prenatal...
The treatment of sagittal craniosynostosis has evolved from early strip craniectomy to total cranial vault remodeling and now back attempts at minimally invasive correction. To optimize outcomes while minimizing morbidity, we currently use 2 methods reconstruction in patients younger than 9 months: spring-mediated cranioplasty (SMC) with parietal barrel staving (SCPB). purpose this study was compare the safety efficacy methods. Hospital records our first 7 SMCs last SCPBs were analyzed for...
The treatment of multisuture syndromic craniosynostosis is in evolution, with an increasing prevalence reports on posterior vault expansion distraction osteogenesis over conventional osteotomy. purported benefits include less perioperative morbidity. authors conducted this preliminary study to compare the course children undergoing cranial versus osteotomy.A query was performed authors' institutional review board-approved, prospective, craniofacial registry for between 2008 and 2011. Data...
Background: The spheno-occipital synchondrosis is a driver of cranial base and facial growth. Its premature fusion has been associated with midface hypoplasia in animal models. authors reviewed computed tomographic scans patients Apert Muenke syndrome, craniosynostosis syndromes hypoplasia, to assess the when compared normal controls. Methods: Ninety head syndrome 31 were assessed, addition an equal number control scans. Spheno-occipital on axial images was graded as open, partially closed,...
Fronto-orbital advancement and remodeling (FOAR) remains the most widely practiced treatment of unicoronal craniosynostosis (UCS) despite recent studies ocular dysfunction aesthetic shortcomings in long-term. The aim study was to compare perioperative morbidity short-term outcomes a recently developed, nondevascularizing, distraction-based UCS with conventional FOAR. To do so, authors compared first 6 patients who were treated new osteotomy/distraction approach last underwent traditional...
Background: The Whitaker classification is a simple and widely used system for describing aesthetic outcomes after craniosynostosis surgery. purpose of this study to evaluate its interrater reliability patients who have undergone fronto-orbital Methods: A retrospective review with underwent surgical intervention at tertiary referral center was conducted. Inclusion criteria were as follows: single-suture craniosynostosis, before age 2 years, photographs taken revisions between 5 20 years age....
Background: The OMENS+ classification is commonly used to describe the phenotypically diverse craniofacial features of microsomia. purpose this study was evaluate associations among individual components criteria. Methods: An institutional review board–approved retrospective chart performed for patients who presented with a diagnosis unilateral or bilateral microsomia clinic from January 1990 December 2012. Demographic, diagnosis, classification, treatment, and radiographic data were...
Craniofacial microsomia encompasses a spectrum of diagnoses associated with variable degrees mandibular hypoplasia, facial asymmetry, chin deviation, occlusal abnormalities, and potential airway compromise. This study presents one surgeon's experience costochondral rib grafting for reconstruction in children Pruzansky/Kaban type 2B 3 hypoplasia.An institutional review board-approved retrospective chart was performed all patients craniofacial who underwent by the senior author (S.P.B.) at The...