In Brief Background: The authors investigated the effectiveness of conservative (repositioning therapy with or without physical therapy) and helmet therapy, identified factors associated treatment failure. Methods: A total 4378 patients evaluated for deformational plagiocephaly and/or brachycephaly were assigned to n = 383; repositioning plus 2998) (n 997). Patients followed until complete correction (diagonal difference <5 mm cranial ratio <0.85) 18 months. Rates calculated, independent...

Summary: The link between social media and surgery has been under increasingly popular discussion. This article discusses the potential role of in creating maintaining brand an academic plastic surgeon.

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...

Craniosynostosis may lead to elevated intracranial pressure, which be implicated with impaired neurocognitive development. However, accurately measuring pressure is challenging, and patterns in craniosynostosis patients are poorly characterized. Spectral-domain optical coherence tomography enable noninvasive assessment of pediatric craniosynostosis.Pediatric undergoing surgical intervention between 2014 2019 prospectively underwent tomographic evaluation. Intracranial was directly measured...

Purpose: This study aimed to investigate frontal sinus volume as a potential indicator of cranial compensatory growth in unoperated normocephalic nonsyndromic sagittal craniosynostosis (NNSC) patients compared with age-matched and sex-matched controls. Previous studies have suggested that is suppressed may be an intracranial space conservation phenomenon. Methods: Head computed tomographies (CTs) from 22 NNSC at our institution were utilized this matched control subjects. Frontal volumes...

Objective This study aims to analyze health determinants affecting patients with cleft palate, specifically examining the relationships between Social Vulnerability Index (SVI), failure thrive (FTT), and healthcare utilization within initial 30 days first year of life. Methods A retrospective analysis was conducted on a palate at tertiary care center over an 11-year period. Data included demographics, weight percentile trends, pediatric emergency department (PED) visits, hospital admissions,...

Background: Surgical correction of craniosynostosis is continuously evolving. There has been a shift from total vault procedures towards minimally invasive techniques, reflecting advances in the understanding condition and surgical technique. This study aims to document evolution outcomes care over an 11-year period at one academic institution. Methods: Institutional review board approval was received. Patient demographics, operative details, postoperative courses were collected for patients...

Background: Successful free tissue transfer requires tension-free microvascular anastomosis. Vein grafts are used when this cannot be obtained, which increases microsurgical complexity and the chance of vessel thrombosis. Previous studies on vein limited to low numbers selected techniques, making it difficult draw conclusions. Methods: A retrospective chart review was performed for all patients who underwent in flap reconstruction from 1995 2015. Information patient characteristics, returns...

Many recommended stability practices have been unchanged for decades and yet the retail landscape has considerably evolved during that time. First, as a result of rise social media second in wake COVID-19 global pandemic. This article reviews published guidelines available to cosmetic scientist when developing suitable protocol considers them context changing landscape. It sets with background testing summary relevant regulations across different territories. outlines current stated...

Introduction: While the use of virtual surgical planning (VSP) has been well described in adult craniofacial literature, there little written about pediatric uses or trends. The purpose this study is to evaluate evolving utilization VSP for procedures. Methods: authors’ prospective institutional review board-approved registry was queried index procedures from January 2011 through December 2018. Data collected regarding traditional versus VSP, as extent VSP's influence on operative procedure....

This study examines an Enhanced Recovery After Surgery (ERAS) protocol for patients with cleft palate and hypothesizes that who followed the would have decreased hospital length of stay narcotic usage than those did not.

Background: In orthognathic surgery, virtual surgical planning (VSP) is gaining popularity over traditional (TSP); however, concerns about cost of VSP have slowed adoption this technology. This study investigates the clinical value versus TSP entire care continuum. Methods: Retrospective cohort was conducted for patients undergoing maxillomandibular surgery between 2005 and 2016 at a tertiary pediatric hospital. Clinical value, defined as patient outcomes per unit cost, analyzed 2 groups...

The goal of this study was to describe the 10-year evolution authors' surgical technique and institutional perioperative outcomes using posterior vault distraction osteogenesis (PVDO) in patients with syndromic multisuture craniosynostosis.The authors performed a retrospective cohort who underwent PVDO for treatment craniosynostosis at single institution over period. Demographic data, outcomes, patterns, complications were analyzed. Outcomes first 5 years (early cohort) compared those latter...

Objective: To investigate airway morphology changes in patients with Pierre Robin sequence (PRS) pre–/post–mandibular distraction osteogenesis (MDO) and to compare morphologic age-matched controls. Design: Retrospective case–control study. Setting: Urban, academic, tertiary medical center. Patients, Participants: Fifteen PRS after MDO relieve upper obstruction (UAO) (2008-2018); controls for post-MDO patients. Interventions: Mandibular osteogenesis, curvilinear internal mandibular...

Background: Fusion of cranial-base sutures/synchondroses presents a clinical conundrum, given their often unclear “normal” timing closure. This study investigates the physiologic fusion timelines sutures/synchondroses. Methods: Twenty-three age intervals were analyzed in subjects aged 0 to 18 years. For each interval, 10 head computed tomographic scans healthy assessed. Thirteen evaluated for patency. Partial closure greater than or equal 50 percent and complete bilateral less defined...

Composite mandibular reconstruction requires multiple tissue components inset in different planes. Intrinsic chimeric flap design provides this, and may be best suited for these reconstructions.A retrospective review of mandible reconstructions with composite, intrinsic chimeric, or 2 free flaps was performed. Patient characteristics complications were analyzed.Seventy-five patients reviewed. Defects reconstructed had significantly more soft needs than composite reconstructions. However,...

Abstract Spring-mediated cranial vault expansion (SMC) has become a primary treatment modality at our institution to correct scaphocephalic head shape in the setting of isolated sagittal craniosynostosis (CS). cranioplasty is associated with minimal procedural morbidity and reliable clinical efficacy, although long-term outcomes are not well elucidated. Herein we describe institutional experience lessons learned SMC. We hypothesize that SMC performed young infants offers durable correction...

<b>Background</b> Ablation of locally advanced or recurrent head and neck cancer often results in large composite orofacial defects with limited recipient vessels. These complex lend well to intrinsic chimeric flap reconstruction, which allows greater ability inset various component tissue types than flaps requires only one set microvascular anastomoses. <b>Methods</b> A retrospective chart review was performed on all patients who underwent reconstruction an free from 2002 2015. Flaps type,...

Abstract Custom alloplastic temporomandibular joint (TMJ) reconstruction has been well established for the management of end-stage TMJ disease. However, its use in congenital deformities is limited. Here, authors present initial outcomes skeletally mature patients who underwent custom and simultaneous orthognathic surgery. A retrospective case series concurrent with surgery between 2014 2019 was completed. Functional, aesthetic orthodontic as complications were recorded. Seven TMJs 5 (4...